All new patients (and established patients who have not
been to our office within the past year)
need to complete the Patient
InformatIon Form.
For your convenience, you may complete our Patient Information Form
prior to your visit. The form has been designed so that you can fill your
information and then print or email the form to our office. You can
also print the form and fill it out by hand and fax it to us prior to your
appointment (fax# 210.614.0530) or bring it with you when you come for your
appointment. Please arrive at least 20 minutes prior to
your appointment. Be sure to bring a current insurance card and photo
ID with you.
Note:
These files are in PDF format. If you do not have Adobe® Reader® on your
computer, you can download it for free by
clicking here
or on the Get
Adobe Reader
icon.
Click on the "Patient Information Form" link to download our 2-page form (PDF format). You may also download the Notice of Privacy
Policies and Practices.
Patient
Information Form
Notice of Privacy Policies
and Practices
Monday 8:00 am til 5:30 pm
Tuesday 8:00 am til 5:30 pm
Wednesday 8:00 am til 5:30 pm
Thursday 8:00 am til 6:30 pm
Friday 8:00 am til 5:30 pm
New Patients are always welcome.
To schedule an appointment,
please call our front desk @ (210) 614-3355. Our staff is happy
to assist you in any way and every effort will be made to accommodate your
schedule.
If you are unable to keep a scheduled appointment, please
notify the office as early as possible.
This appointment time has been reserved for you and failure to cancel
your appointment within 24 hours (at least 1 business day) will regretfully
result in a missed appointment charge.
Would you like to learn more about ways to reduce
wrinkles, improve skin texture, and restore a healthy glow to your skin? Contact our office at (210)
614-3355 or by email at
cosmetic@dermlaser.com
to schedule a
consultation.
As a
service to patients, our office will bill the patient’s insurance (both
primary and secondary) for services rendered. Co-payments, deductibles and payments
for treatment not covered by insurance are due at time of service.
We
accept cash, check, Visa/MasterCard, American Express and Discover.
If your insurance company is an HMO and requires you to be referred to a specialist
by your primary care physician, the referral must be received by our office
prior to your appointment. Please call
our office the day before your scheduled appointment to verify that we have
received your referral.
The Dermatology and Laser Center of San Antonio™ is
conveniently in the heart of the
South
Texas
Medical
Center at
7810 Louis Pasteur Drive, Suite
200,
San Antonio,
Texas
78229.
To get directions to our office, enter
your starting address in the box below.
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