Welcome to Our Practice!
We realize that you have a choice of where to be treated. We also realize that you place a great deal of trust in your physician to provide you with the most up-to-date information and treatment options regarding your skin care health. We do appreciate and value the trust you have placed in us.
You may print, complete and bring the following forms with you to save time in our waiting room. This will allow us to maintain accurate contact information and medical records for you.
REMINDERS OF REQUIRED ITEMS FOR YOUR
VISIT
• Insurance Card (Primary and Secondary) and Photo ID
If you have health insurance, we need a copy of your insurance card
(otherwise visit will be self-pay).
• Co-pay and/or Previous balance is collected at check-in
• Cosmetic procedure fees are due at time of visit
• Completed Patient Registration Package and Medical History
• Written Referral from your Primary Care Physician
(if required by your insurance plan)
• Parent or
Legal Guardian must accompany patients under 16
We especially value patient feedback. Therefore, we will ask you to communicate to us your experiences with us. Be assured your feedback matters. It helps us continue to serve you and our other patients with the highest level of care possible. If you have any questions or concerns, please do not hesitate to ask any member of our staff.
Also in our practice, Carol D. Currey, MD specializes in the treatment of allergic diseases including allergic rhinitis (hay fever), asthma and eczema.
Warmest Regards,
Robert N. DeAngelis, MD