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PATIENT REGISTRATION – COMPLETE THESE FORMS PRIOR TO YOUR APPOINTMENT

If you have already scheduled an appointment but have not yet filled out your Patient Registration Forms, please log into your Patient Portal to complete your forms online prior to your appointment.

If you are unable to complete your forms via the Patient Portal, please arrive fifteen minutes before your appointment to accommodate completing the paperwork which will be provided by one of our Patient Care Coordinators.

Please note that if you are an existing patient, you may be asked to complete a new set of Patient Registration Forms depending on the last time you had an appointment with us.

For security and verification purposes, our Patient Care Coordinators will also request a form of identification and your insurance card when you check in for your appointment.

To complete your Patient Registration Forms prior to your appointment please log in.

Patient Portal

Use the Patient Portal to:

  • Billing – Make a Payment
  • Request an Appointment
  • Access Patient Registration Forms for Contactless Patient Check-in

Use the Medical Information Portal to:

  • Access your Lab Results, Visit Notes and Medical Records
  • Request Medication Refills
  • Update your Health History

Creating Your Patient Portal Account

Reset Your Patient Portal Password

Completing Your Patient Forms

Insurance

If your insurance covers dermatological treatments, you will receive the benefit of reduced out-of-pocket costs. Because insurance policies vary, we review each case individually to determine the best course of action for you. Additionally, some plans require a referral from your primary care physician, so it is a good idea to check with your insurance company for specific requirements.

Please check with your individual insurance carrier for coverage. 

While we will bill most carriers on behalf of our patients, we cannot guarantee personal coverage or benefits. Only your insurance company’s customer service department can guarantee that our providers are in their network. It is the patient’s responsibility to find out whether or not prior authorization is required.

insurance plans Accepted

Medical Records

To request your Medical Records, please print, sign, and email this form to medrecs@advancederm.net for processing.

Medical Records Request