Patient Info

Patient Forms

The following forms can be downloaded to your computer and printed at home.
By filling out these forms ahead of time, you will save a significant amount of time during your visit.

• Patient Forms 
• Prescription Form

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

Insurance

At South Nassau Dermatology, we accept the following insurance policies:

• 32BJ
• 1199
• AETNA
• AARP
• ANTHEM BC/BS
• BC/BS
• CIGNA
• EMBLEM HEALTH
• EMPIRE PLAN
• FIRST HEALTH
• FISERV
• GHI
• GREAT WEST
• HIP (NOT ALL PLANS)
• HORIZON BCBS
• HUMANA
• MEDICARE
• MAGNACARE
• MULTIPLAN
• OXFORD
• RAILROAD MEDICARE
• TRICARE
• UNITED HEALTHCARE
• UNITED HEALTHCARE COMPASS
• UNIFORMED SERVICES
• VYTRA 

Helpful Dermatology Links

• American Academy of Dermatology
• American College of Mohs Micrographic Surgery and Cutaneous Oncology
• American College of Phlebology (Spider Veins of Legs)
• American Society for Dermatologic Society
• American Society for Laser Medicine and Surgery
• AcneNet, ActinicKeratosesNet, AgingSkinNet, EczemaNet, PsoriasisNet, RosaceaNet & SkinCancerNet
• National Eczema Society
• National Psoriasis Foundation
• National Rosacea Foundation
• Skin Cancer Foundation
• International Hyperhidrosis Society (Excessive Sweating)
• BOTOX® Cosmetic
• Restylane®