For our new patients and patients who have not been seen in our office within the last 12 months, please click on the link below, print the packet and bring the completed forms with you to your appointment.
- Consult Request Form
- Adult Patient Form Packet
- Minor Patient Form Packet (Patients Under 18)
- Notice of Privacy Practices
In order to view or print these forms you will need Adobe Acrobat Reader installed.
Click here to download it.
Insurances We accept
- Medicare, Railroad Medicare
- Blue Cross Blue Shield
- United Healthcare
- Humana, Humana Military
- Veterans Administration
- Secure Health
- United Claims Solutions
- 1st Medical Network
*Don't see your insurance? Call us at 888-881-9602 to check coverage.
PREFERRED RX DRUG LIST
- BCBS GA PPO/POS/HMO
- Aetna PPO/POS/HMO and Medicare Replacement
- Cigna PPO/POS/HMO
- American Academy of Dermatology
- American Society for Mohs Surgery
- Skin Cancer Foundation
- American College of Mohs Surgery
- American Cancer Society
- American Academy of Dermatology Topics
- Melanoma of the Skin Staging Poster