Thank you for scheduling an appointment with our doctors at the Pennsylvania Centre for Dermatology.  We stive to provide patients with top-notch dermatology care in a compassionate and professional environment.  In order to optimize your care and provide the best time-management during your visit, we ask that you abide by the following guidelines

 

• Please arrive 15 minutes before your scheduled appointment time. 
• In order to save time, please complete your registration materials prior to your visit (see next section for links to these forms)
• Please make sure that you bring the following items with you to your appointment:
  • Insurance Card
  • Referral form (if required by your insurance company)
  • Cash, check or Visa/Mastercard for  your co-payment. (There will be a $35 fee for returned or cancelled checks)
  • COMPLETED Patient Information form (see links below for form)
  • COMPLETED Medical Information form (see link below for form

• Please remember your co-pay for this visit.  We do not bill for co-pays.  This is a requirement of your insurance company.  If you are unable to keep your appointment, please notify us at least 24 hours before your scheduled appointment. 

• There will be a cancellation fee of $25.00 for appointments cancelled with less than 24-hour advance notice.

• In order to facilitate the treatment of you skin condition, please request that all pertinent medical records be sent by your referring physician prior to your appointment.  Please complete the form below and fax to your physician.  This form authorizes the release of this information to the Pennsylvania Centre for Dermatology. 

Thank you for choosing the Pennsylvania Centre for Dermatology for your skin health Needs.  We take pride in our commitment to patient care and look forward to your visit with us.

In order to save time during your visit, feel free to download the following forms and complete at your leisure.  Click on the links below (in blue) and print on your printer.  Most patients appreciate the time savings and convenience of performing these tasks at home. 

Medical Information Form Demographics and Consent Form

Noitice of Privacy Practices Fax Request for Release of Medical Records