Patient Registration and Information:
Our doctors and staff are dedicated to providing you with an exceptional visit and care that enhances your skin's health. Our administrative staff is available to answer questions about scheduling and insurance. Please check the directory to email your questions.
New Patients:
New patients will be asked to complete our medical history and patient registration forms. You may download and print these forms and complete them prior to your visit; alternatively, please arrive 15 minutes early and complete them at the time of your visit. For insurance purposes, you a considered a "New Patient" if we have not seen you in the past three years. You will be asked to fill out the New Patient forms and we will need to register and verify all your information again.
In order to expedite your visit, click on the patient forms button below to download, print, and fill out the forms prior to your visit. For our new patients: please note that it will take approximately 20-30 minutes to register you in our computer system and to verify your insurance and information. Thank you for your patience in this matter.
In order to expedite your visit, click on the patient forms button below to download, print, and fill out the forms prior to your visit. For our new patients: please note that it will take approximately 20-30 minutes to register you in our computer system and to verify your insurance and information. Thank you for your patience in this matter.
Please bring the following when you come to your appointment at El Centro Dermatology:
- Your medical insurance card
- Medication benefits card
- Photo identification card
- Payment for any co-pays
- Your referral paper and any labs or imaging, if applicable
- A list of medications you are presently taking and any that you have used previously for your skin condition
Children Under 18
IMPORTANT: A parent or guardian must accompany all patients under 18 to a first visit to our clinic, as well as to any visit where we may consider prescribing oral medication or performing any procedures. In the case that your are unable to come with your child, you may print and sign the Consent for Medical Treatment of a Minor and bring this form to the appointment.