Dermatology Practice Patient Complaint Form

Managing patient concerns effectively is essential for any dermatology practice. Whether it's questions about treatment outcomes, billing discrepancies between cosmetic and medical procedures, or delays in receiving critical biopsy results, having a clear channel for feedback helps maintain trust and improve patient care.

This Dermatology Practice Patient Complaint Form gives your patients a structured, confidential way to share their concerns while providing your practice with the detailed information needed to investigate and resolve issues quickly. The form captures specific details about treatment effectiveness, billing concerns, wait times for results, and overall service quality—making it easier for your team to address each complaint appropriately.

For dermatology practices, medical spas, and cosmetic clinics, Paperform makes it simple to collect, organize, and respond to patient feedback. The form can be embedded on your patient portal, sent via email, or shared through your practice management system. With conditional logic, patients only see questions relevant to their specific concern, creating a more streamlined experience.

Once a complaint is submitted, you can use Stepper to automatically route the submission to the appropriate department—clinical issues to your medical director, billing concerns to your finance team, and service complaints to your practice manager. Stepper can also trigger follow-up emails, create tasks in your project management tool, and log complaints in your CRM for tracking resolution times and patient satisfaction trends.

This template helps dermatology practices maintain high standards of care, improve patient communication, and ensure that concerns are addressed promptly and professionally—all without additional administrative burden.