English |

Welcome to Johnson Dermatology Clinic

Please fill out the details below for each step and then click Next to proceed
  • Account
  • Financial
  • Medical
  • Payment
  • Notices

Patient Photo:

Step 1 - 5

Personal Information:

Contact Information:

Emergency Contact:

Driver License:

For Best Results
Hold your driver license as close to the camera as possible until your camera focuses properly on the license. We just need to be able to see the details clearly.

Employer Details: