Patient Resources
Paperwork
We all know that forms and paperwork are an important part of today’s healthcare environment. We have worked hard to make the process as easy as possible for all of our patients. At Pediatric Dermatology of North Texas. You can even pay your co-pay and/or any outstanding balance from your own personal device.
Scheduling Your Visit
We are always accepting new patients and are the preferred provider for many HMO and PPO plans, including but not limited to:
- Aetna
- Anthem Blue Cross
- Blue Shield
- Cigna
- Optum
- TriWest
If your insurance plan is not listed, please call the office as we accept more plans than we can list!
Before Your Visit
Prior to your visit, you will receive an appointment confirmation call or text from us. If this is your first visit, you will also be prompted to complete your new patient intake forms. Clicking the link to confirm your appointment will automatically lead you to complete your patient registration and prompt you through the entire process. It’s easy to fill out, and we will remember your answers for your next visit, so you only have to make necessary changes in the future.
Registering before your visit helps us serve you better and faster when you come into the office. Please arrive at least 15 minutes early to fill out your pre-visit information if you cannot complete it before your appointment.
Patient Forms
Patient Registration
Consent Form
Patient HIPPA Consent
Young Adult Consent
Treatment to Minors
Notice of Privacy Practices
Waiver Telederm
Patient HIPAA Consent Form
Patient Records
Patients Requesting Medical Records
If you are our patient and would like to request your medical records, please click on the link below to complete your request for medical records. You will be required to provide a valid email address and a government-issued ID.
Click here to submit a request for medical records
Third-Party Requestors for Medical Records
If you are an attorney, insurance company, or any other entity requesting records from our facility, please click on the link below to upload your request along with the patient’s authorization.
Click here to submit a request for medical records
Helpful Links
Pediatric Dermatology of North Texas is passionate about client education and continued access to information.
Below are links to several useful websites that address pediatric dermatology conditions, research, and support.
Dermatology Conditions, Research, and Support Sites:
Pediatric Dermatology of North Texas
Services
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