Patient Resources

                             New Patient Forms

                                           Consents

                                           Instructions

                                           Billing Information

                                           Health Plans Accepted

                                           Miraca Labs Contact                 

 

 

 

 

 

 

 

 

 

 

Dermatology Department Policy Form                  

Dermatology Procedural Consent 

                                                                                   General Dermatology Surgery Consent

Patient Instructions                                                 Mohs Micrographic Surgery Consent

                                                                                   Botox Consent

                                                                                   Juvederm Consent

                                                                                   Collagen P.I.N. Consent

                                                                                   Photodynamic Therapy (Blue Light) Consent

Biologics Consent

Latisse Consent

Patient Instructions

 Biopsy Wound Care Instructions

                                                                                                             Liquid Nitrogen Care Instructions

                                                                                                             Pre/Post Peel Instructions

                                                                                                             Collagen P.I.N. Instructions

                                                                                                             Botox Instructions

                                                                                                             Juvederm Instructions

                                                                                                             Photodynamic Therapy (Blue Light) Instructions

                                                                                                             Surgical Wound Care Instructions

 

 

 

 

 

 

 

 

 

 

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SUN SAFETY TIPS: 

DR. COOK'S SKIN CARE TIPS: 

Derm Dept Policy Form

Copy of Procedural Consent

Botox consent

Juvederm Consent

Collagen PIN consent

Biologics onsent 

Latisse Consent

Peel Consent

 

BILLING QUESTIONS

​​What billing or insurance information will I receive?

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How long will it take to get things settled with the insurance company?

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Why am I getting bills from physicians?

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Just click “Edit Text” or double click me and you can start adding your own content and make changes to the font. I’m a great place for you to tell a story

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I received a notice that my insurance company has paid on my bill - but I can't understand how they calculated their payment amount. Do you know?

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Just click “Edit Text” or double click me and you can start adding your own content and make changes to the font. Feel free to drag and drop me anywhere you like on your page. I’m a great place for you to tell a story

and let your users know a little more about you.


This is a great space to write long text about your company and your services. You can use this space to go into a little more detail about your company. Talk about your team and what services you provide. Tell your visitors the story of how you came up with the idea for your business and what makes you different from your competitors.

Health Plans Accepted

​​- HMSA

- BLUE CROSS BLUE SHIELD

- UNITED HEALTHCARE

- HMA

- HMAA

- TRICARE

- HMSA QUEST (restrictions apply)

- OHANA (restrictions apply)

- ALOHA CARE (restrictions apply)

 

- HUMANA GOLD

- Alternative Care

- HealthPLUS


- Medical Insurance Co.


- All Insure, Inc.


- MedCare


- ABC Insurance


- Alternative Care