Patient Resources
Preparing for Your Visit
Before Your First Visit
If you are a first-time patient, you can speed your visit by downloading, printing, and filling out the following paperwork ahead of time.
All new patients should complete these forms for their first visit:
- Financial Policy Form (pdf)
- New Patient Medical History Form (pdf)
- No-Show / Cancellation / Refill Policy (pdf)
- Skin Basic Cancellation Policy (pdf)
- New Patient Registration Form (pdf)
This is for your information only. You do not need to bring this form with you:
Insurance
We Accept the Following Forms of Insurance
- Traditional
- SuperMed Classic®
- SuperMed Professional™
- SuperMed Plus®
- SuperMed Select®
- SuperMed Preferred
- Advantage Plan
- Blue PrioritySM
- Blue Preferred® Primary (HMO)
- Blue Preferred® Primary Plus (POS)
- Blue Access®(PPO)
- Blue Traditional®
- Lumenos Health Savings Account
- Anthem Senior Advantage
Medicare & Railroad Medicare
Although we are participating providers in the above plans, it is still the patient’s responsibility to check their individual plan to see if we are in their specific network.
*For other insurances not listed above, we will copy your insurance card and provide you with the information needed to submit your claim. Patient will be responsible at the time of service for all services rendered.