Patient Forms

Dr. Heidi Goodarzi strives to provide our patients with helpful information and resources. Find below helpful resources and medical forms that you can print and complete before your next visit. Our caring and professional staff continuously works to reduce paperwork for your convenience, so please take a moment to fill out the forms and provide your important medical information. To save time at your Irvine dermatologist office, please bring your completed forms with you on your first visit or the next time you visit our office.

Patient Forms

Please print and fill out the following patient registration forms and bring them with you to the office during your first visit to speed up our processing. You can also fax your completed form to us at (949)201-4443.

Adult Patients

Pediatric patients (under 18 years of age)

Make An Appointment By Phone:

To schedule an appointment with Dr. Goodarzi, your Irvine dermatologist, or for more information on dermatology treatments in Orange County, please call (949) 430-0334 or (949) 679-1990 or click on the button below.

Request an Appointment

What Our Clients Say About Us

I had never done botox for cosmetic purposes and was very afraid to do so as i had seen too many gone bad results. however, after consulting with dr. goodarzi, i was convinced that if botox is done properly it really has apositive effect. i decided to go for it and i’ve been hooked ever since…
M.G. (32 years old female patient from Irvine, CA)
Dr. Heidi Goodzari is amazing! i brought my 2 year old son to her office for evaluation and treatment of a skin condition, and she took excellent care of us. she treated my son with such kindness and immediately put me at ease. we love Dr. goodzari and will continue seeing her for the care of our entire family…
N.N. (Mother of 2 years old patient from Corona Del Mar, CA)
Dear Dr. Heidi,thank you very much for everything! my first appointment for botox, i loved it. next appointment for filler, the result has been wonderful for me and i am very grateful to you!it must have been difficult to work on a colleague, i proudly recommend you to anyone interested.thank you again,
Dr. Mort. (65 years old male patient from Irvine, CA)