• Medical Dermatology
• Cosmetic Dermatology
• Continuum of Care™
• Mohs Surgery

Information for New Patients

The medical providers and staff of Delaware Valley Dermatology Group want to welcome you as a patient.

Patient Forms

Please print and fill out these forms so we can expedite your first visit:

• Patient Registration
• Health Questionnaire
• HIPPA Acknowledgement
• Notice of Privacy Practices

In order to view or print these forms you will need Adobe Acrobat Reader installed.

Click here to download Adobe Reader.

Registration

For your convenience, we have made available here the forms you would otherwise be asked to fill out when you arrive for your appointment. We think you'll find that you can speed through the registration process if you choose to print these out and complete them in advance.  Please pay special attention to the question on the Registration Form asking, "Is this a Preventive Medicine Care Visit".  You'll find it in bold letters between double asterisks (**) in the middle of the page. 

The reason we call your attention to this is that the answer can affect whether or not your insurance carrier will pay for the visit. 

Many insurance carriers will pay 100% for any preventive care, which, in our case, means an annual skin check. However, these same insurers may only honor this benefit if nothing else is done (or discussed) at that visit.  If you answer "yes",  our providers may not be able to perform any additional services at that time.  You will need to return for another visit to have anything suspicious removed or biopsied.  We really regret this, but we also don't want you to have to pay out-of-pocket for all or a portion of your visit.  And that can happen.   Should the visit encompass anything but a total body skin exam, you may be held personally responsible for the costs.  Please check with your insurance company to learn if this is applicable to you and whether or not co-pays or deductibles apply.  We cannot be held responsible for knowing the detailed requirements of individual policies. And we certainly do not want you to have any unpleasant surprises.  So, please understand your healthcare policy.  

 Also, please do not forget to bring all your insurance cards and your referral if required by your insurance carrier.

When a referral is required, you'll want to make sure you have contacted your Primary Care Physician (PCP) well in advance of your scheduled appointment. Up to 7 days notice may be required to allow time for them to issue a referral. Your PCP may request your appointment date in order to process the referral. You may also wish to contact your insurance carrier to confirm that a referral has been issued.

According to federal regulations intended to prevent insurance/identity fraud, we are now also required to ask you for some form of photo ID. We apologize for the additional inconvenience.

Should you have any questions about the attached forms, or our participation with your insurance carrier, please contact our office in advance of your appointment. Any member of our patient services staff will be delighted to help you. We look forward to meeting you.

Map and Directions

What To Expect

Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It will also help alleviate any unnecessary anxiety you may be feeling prior to your first appointment. Educate yourself on your symptoms by reviewing the content on this Web site. Also, take some time to review our staff page and familiarize yourself with the doctors. We look forward to your first visit.

You will also want to know that we have recently instituted automated confirmation calls to free us up to focus on the more critical areas of patient care. You can confirm your appointment immediately and we encourage you to do so.  Accurate scheduling is critical to knowing where we can fit in that last minute urgent care appointment.  It also enables us to cut down on extended wait times.  So when you get that call, please follow the prompts.  We appreciate your help and cooperation.

By the way, we'd also like you to:

Get into a gown to beat skin cancer!!

At DVDG we are committed to your wellness. For this reason we have begun a new initiative to ensure that each of our patients has a complete skin exam at least once yearly - possibly even more often, if you have a history of skin cancer. The rates of skin cancer have increased dramatically over the past thirty years, even among teenagers. Today, it is estimated that one in every five Americans will develop some form of skin cancer in their lifetime. A complete skin exam is fast, costs nothing additional, and can save your life. So please, help us to help you. When you are offered a gown, please accept it. (Women can be assured that a female chaperone will be in the room at all times, and your privacy will be respected to the greatest extent possible.) Thank you.