Dermatology Resources

Patient Resources

Our staff looks forward to meeting you and discussing your goals. We strive to keep our appointments on time as scheduled. Prior to your appointment, we encourage you to fill out the patient forms that are located on this website so you can accelerate your check-in process. Please download, print, and complete the forms and bring them with you to your appointment. If you are unable to download our patient forms, then it is recommended that you arrive at your appointment 15 – 30 minutes early so you can have ample time to fill out the appropriate forms.

Highmark BCBS Medical

Insurance Claim Form

UPMC Health Plan

Out of Network Form

United Healthcare

Insurance Claim Form

United Healthcare

How To Submit A Claim

Aetna

Insurance Claim Form

Health Insurance

Insurance Claim Form

Capital Blue Cross

Insurance Claim Form

Health Benefits Claim Form

Insurance Claim Form

Cigna Claim Form

Insurance Claim Form

TriCare Claim Form

Insurance Claim Form for Tricare Select, Tricare For Life and Tricare Prime

*Individual results are not guaranteed and may vary from person to person. Images may contain models.