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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.

Log In

Patient Portal & Existing Patients

Use the Patient Portal to:

Use the Patient Portal to make a payment, request an appointment, and access patient registration forms for contactless patient check-in.

Use the Medical Information Portal to:

Use the Medical Information Portal to access your lab results, visit notes and medical records, request medication refills, or update your health history.

Creating Your Patient Portal Account

Reset Your Patient Portal Password

Completing Your Patient Forms

Insurance

We provide courtesy billing to your primary and secondary insurance carriers. Insurance coverage for dermatology services varies depending on your insurance. Please check with your individual insurance carrier for information. Additionally, some plans require a referral from your primary care physician, so it is always a good idea to contact your insurance company for their specific requirements before your visit.

While we will bill most carriers on behalf of our patients, we cannot guarantee personal coverage or benefits. Only your insurance company can guarantee that our providers are in their network.

insurance plans Accepted
  • AARP
  • Aetna
  • American National
  • Atrio
  • ChampVA
  • Cigna
  • EBMS
  • Garden State Life Insurance
  • GEHA
  • Global Life & Accident
  • GPM
  • Great West Healthcare
  • Harrison Trust
  • Healthcomp
  • Healthscope
  • HMA
  • Humana
  • Individual Health Insurance
  • Kaiser
  • LHS/MCS
  • Lifewise
  • Loyal American
  • Lumico
  • Mail Handlers Benefit Plan
  • Manhattan Life
  • Meritain Health
  • Mid Rogue IPA
  • MODA
  • Nesika
  • Operating Engineers
  • P3
  • PacificSource Health Plans
  • Pan American
  • Physicians Choice Advantage
  • Providence Health Plans
  • Regence BCBS
  • Samaritan Choice Plans
  • Shasta Administrative Services
  • Starmark
  • State Farm
  • Thrivenet
  • Transamerica
  • TriWest
  • UCT
  • UFCW Trust
  • Umpqua Health
  • UMR
  • United Healthcare
  • United of Omaha
  • US Benefits
  • USAA Life
  • Wausau Benefits
  • Web TPA
  • WPS-VACAA