new patient paperwork

Before your visit with Gold Coast Dermatology Center, please read through our insurance information and use our helpful tips for an easy transition to our office.

Before your appointment, please make sure we are a provider of your insurance. Check to see if you need a referral and if you have a co-pay or deductible. We will be happy to assist you when you make your appointment. Please fill out the first set of forms provided on this site, and bring them with you to your appointment. Please review the Arbitration Agreement as you will be asked to sign them in the office on the day of your visit.

If you have any medical reports that you would like us to review that were performed at another office, please obtain them prior to your appointment and bring them with you. Don’t forget to bring your medical insurance card and driver’s license to your appointment. Dependents under the age of 18 years old should be accompanied by a legal guardian.

The following forms can be downloaded to your computer and printed at home. By filling out these forms ahead of time, you will save a significant amount of time during your visit. Please be prepared to provide this information to our office along with your current medical insurance information. If you have any questions when filling out these forms, please do the best you can and our staff will assist you with your questions on the day of your visit.

Have a Question?

If you have any questions at all, our friendly staff is here to assist you. Send us an email with a brief message, and we will get back to you in a timely manner.

*Do not send emails containing personal information. Please be aware that email communication is not a substitute for a face to face encounter with the Doctor. Instead, use secure services like calling the office.*
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