New Patients
CLICK HERE – NEW PATIENT WELCOME KIT – Please return this paperwork to us at least 48 hours in advance of your first appointment including a copy of your medical insurance identification card so your insurance coverage can be confirmed and your chart can be constructed prior to your arrival. Failure to comply with this request will delay your initial visit and may result in that visit being on “Cash Basis” if insurance cannot be validated at that time. Scans can be e-mailed to office@laserdermdoc.com or faxed to us at 714-974-4517.
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 on the Get Adobe Reader icon.
Monthly Specials And Events
We send our monthly specials and event invitations to you through our interactive communication service that allows you to receive and communicate with us the way you prefer – Text, Email or through our custom app, “Talkwithme”. Click the “SIGN UP NOW” button to be added to our distribution list. We assure you that we will never release your e-mail address to any other party nor will we inundate you with emails – just an occasional note so you can stay up to date on new treatment options, treatments specials, products on sale or open house events. This service is fully compliant with patient protection laws and all information you exchange with us through any of the communication methods is held strictly confidential and can only be seen by staff while in the office.
CareCredit
CareCredit is the credit card exclusively for healthcare services. With monthly payments every time you use it, you can use your card over and over for follow-up appointments or additional procedures. This means you don’t have to put your health and beauty needs on hold until you save up enough money. We give you the power to decide when it’s the right time for you!
Click on the logo to apply now:
Patient Records
Patients Requesting Medical Records
If you are our patient and would like to request your medical records, please click on the link below to complete your request for medical records. You will be required to provide a valid email address and a government-issued ID.
Click here to submit a request for medical records
Third-Party Requestors for Medical Records
If you are an attorney, insurance company, or any other entity requesting records from our facility, please click on the link below to upload your request along with the patient’s authorization.