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For Patients

New Patient Forms

Surgical Dermatology Associates Dallas requests that all new patients provide us with basic health and general information.

Please print and complete the following PDF forms and bring them with you on your scheduled visit to our office:


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Insurance and Billing

Surgical Dermatology Associates Dallas is an in-network provider for several insurance companies. If we are in the network of your insurance carrier, we will file medical claims directly for you. To submit your claim, we must have a current copy of your insurance card on file. While we file your claims for you as a courtesy, please be aware that payment for services remains your responsibility.

Accepted Insurance

Below is a list of insurance plans we accept. Please contact our office if your insurance plan is not listed below:

  • Medicare (including all Medicare Advantage Plans)
  • Aetna
  • Aetna Medicare Advantage
  • BCBS (all products)
  • BeechStreet
  • Cigna
  • Coventry/First Health Network
  • HealthSmart
  • Humana (all products)
  • Principal Edge
  • Secure Horizons PFFS Only
  • Texas True Choice
  • United HealthCare
  • Railroad Medicare
  • Medicaid
  • Tricare
  • PHCS/Multi-Plan




American College of Mohs Surgery American Academy of Dermatology American Society for Dermatologic Surgery Women's Dermatologic Society