Patient Resources

Please download the applicable forms on this page and bring them filled out to your appointment.

 
 

Minor Consent Form

Medical Release Form

 

Patient Insurance Information

As a courtesy to our patients, we will bill both your primary and secondary insurance carriers. In order for us to do this you will need to bring the following to your appointment:

  1. a government-issued picture ID (if the patient is a minor, then a parent or guardian must supply this),

  2. your insurance cards.

  3. know your insurance benefits and please be prepared to pay your portion at the time of your appointment.

We are not in-network with any insurance companies at this time, however because of our location, some insurance companies classify us as “rural” and automatically do an in-network exception. The closest in-network Dermatologist is in Anchorage, 150 miles away. As the patient, it is your responsibility to call your insurance company and find out what your benefits are and if your insurance carrier will consider an in-network exception. If we can be of any assistance in helping with this process, don’t hesitate to call us.

 
 

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