Welcome to Center for Dermatology Grapevine, now a part of U.S. Dermatology Partners! Complete the forms in the new patient packet, listed below, and bring them to your initial appointment along with your photo ID, insurance card and credit or debit card (Visa, MasterCard or Discover).
New Patient Packet contains:
If you have not completed the new patient packet, we ask that you arrive 10 minutes prior to your scheduled appointment time so that paperwork can be completed and we can get you checked in on time.
If the patient is a minor (under 18 years of age), the parent or legal guardian must be present at the child’s initial visit to sign the parental consent form and provide the child’s Social Security number. The consent form you sign gives us permission to treat your child. Without a signed consent form, we cannot legally treat a minor child. At the initial visit, you can list other adults who can accompany your child to future visits. If you are unable to attend the first visit with your child, you may send the notary version of the parental consent form.
If you are not the child’s parent but his or her legal guardian, you will need to bring legal documentation to confirm that you are the legal guardian. This information will be kept in the child’s file.
Please bring your photo ID and insurance card to each appointment.
We understand that sometimes you may be delayed. However, late arrivals may require rescheduling.
We accept most major insurance carriers and Medicare. However, please contact your insurance company prior to scheduling your appointment to verify the specifics of your coverage. Also, it is important to ask your insurance carrier if any referral, pre-authorization or pre-certification is necessary before you schedule your appointment with us. HMO carriers require pre-authorization prior to treatment.
Payment is due at the time services are rendered.