Our Dermatology Patient Resources
Patient Forms And Information
Patient forms need to be printed, filled out and brought to the office. Please do not submit your forms through the website.
To save time on the day of your appointment, please click here to fill out these forms and bring them with you.
Accepted Forms Of Payment
We only accept cash or card for Product purchases and Cosmetic appointments.
- Cash
- Credit Card: American Express, Discover, MasterCard, VISA
CareCredit® Healthcare Credit Card
We accept CareCredit®, the healthcare credit card designed specifically to help finance your health and beauty needs. CareCredit® can help you move forward with getting the procedures you’ve always dreamed of with special financing on purchases of $200 or more. CareCredit® is the credit card exclusively designed for healthcare services like cosmetic dermatology. Provided you have credit available, you can also use your card over and over for follow-up appointments or for different procedures.
Subject to credit approval. Minimum monthly payments required. Visit www.carecredit.com for details.
Accepted Insurance Plans
- Aetna
- Cigna
- First Health – Group Health Only
- First Choice Health Network
- Great-West Healthcare
- HealthNet
- Humana Medicare
- Kaiser Permanente – Added Choice
- Managed Health Care NW (MHN)
- Medicare
- MultiPlan
- ODS/MODA
- Pacific Source
- PHCS
- Providence Health Plan – Medicare – EPO – PPO
- Providence Preferred
- RailRoad Medicare
- Regence BCBS
- Tricare
- United Healthcare