Patient Information

Patient Information

The following forms can be downloaded to your computer and printed at home. By filling out these forms ahead of time, you will save a significant amount of time during your visit. Please be prepared to provide this information to our office along with your current medical insurance information. If you have any questions when filling out these forms, please do the best you can and our staff will assist you with your questions on the day of your visit.

Adobe Acrobat icon Health History Adobe Acrobat icon Patient Registration Adobe Acrobat icon Consent To Treat Minor
Adobe Acrobat icon HIPAA Consent Adobe Acrobat icon Medical Records Release Form

Need Adobe Acrobat Reader?

If you do not have a copy of Acrobat Reader you can get one for free by clicking on the icon ‘Get Acrobat® Reader’. This will take you to Adobe’s website and enable you to download the Acrobat program to your computer.

Map and Directions

Map and Directions on our Contact Page

What To Do Before Your Appointment:

Please bring a list of all your current medications.

If you have any medical records regarding prior care for your skin problem, please bring them or have them sent by the appropriate care provider.


When you call our office for an appointment, you will be conveniently greeted by one of or staff members-not an automated answering system!

If, for any reason you cannot keep a scheduled appointment, or will be delayed, please call us as soon as possible.

Insurance and Billing

Insurances we accept include Blue Cross/Blue Shield, Health Partners, Humana, Medica, Medicare, U-Care, and most private insurers such as Aetna. Please contact our office to verify acceptance of your plan. Qualifications for insurance coverage may differ due to the uniqueness of each procedure.

Payment Options

We accept checks, cash or credit cards. We also offer a flexible payment plan.

Want to look up a dermatologic disease or lesion?

Just visit the American Academy of Dermatology website. On the left side of this webpage select the first letter of the disease or lesion you are interested in.


 Patient Education from VivaCare

  • EXCELLENT resource on dermatology topics. STRONGLY RECOMMEND THIS LINK !!!

American Academy of Dermatology:

  • ALSO excellent  patient education material on many dermatology topics is available here. Click on “PUBLIC” on far left of top banner, then “Conditions/Diseases”

National Vitiligo Foundation

National Alopecia Areata Foundation

National Rosacea Society

National Psoriasis Society

American Board of Internal Medicine

  • A new 2014 initiative; ‘Choosing Wisely’ regarding wise medical choices