Dermatology Treatment & Research Center

Advance and Professional Skin Care in DFW

Patient Registration Forms


Patient Registration
Consent To Treat
Notice of Privacy Practices
Acknowledgment of Receipt-Privacy Practices
Consent to Treat a Minor
 
Currently Accepted Insurances



Aetna PPO, POS
Ameriplan-Discount Plan
Beechstreet PPO
Blue Cross Blue Shield PPO, POS 
Cigna HMO/POS/PPO/PPA/EPO
Choice Care Network, Humana PPO
Coventry Healthcare, PPO
EHN
First Health PPO
Galaxy Health Network PPO

Great West POS, PPO
Health Smart EPO, PPO, GEPO
Interplan Health
Medical Control PPO Next
Medicare
Multi-Plan
North Texas Healthcare Network PPO, EPOS
PacifiCare PPO
PHCS PPO
Principal Edge PPO
Texas True Choice
United Healthcare EPOS, HMO, PPO, POS

 


Dermatology Treatment & Research Center
5310 Harvest Hill Road, Suite 160, Dallas, TX 75230
   Phone (972) 661-2729/Fax (972) 661-0227

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