Now in my Shopping Cart: 0 items    
brentwooddermatology

Advertisements

 
For More Information Please Click Here!

   

To expedite your initial visit, please print, fill out and bring along the patient information sheet.

pdf

DOWNLOAD THE PDF FILE BY
CLICKING HERE.

adobe

( REQUIRES ADOBE ACROBAT READER.
CLICK HERE TO DOWNLOAD )

word

CLICK HERE TO DOWNLOAD IN MICROSOFT
WORD FORMAT

Valet parking is available in the building for $2 per 15 minutes, maximum $16 per day.  There is also a parking structure behind the library on San Vicente that is less expensive.  Metered parking is available on San Vicente for $2 per hour.  There is free 2 hour parking on Bundy and Montana and on Saltair near Comerica Bank.

To further expedite your visit, bring us the following information: your co-payment amount, your annual deductible and co-insurance information.  Please click on your insurance carrier link to view your Basic Eligibility Information with Coverage

 

http://www.bluecross.com/

http://www.blueshield.com/

https://www.blueshieldca.com/bsc/home/home.jhtml

http://www.cigna.com/

If you do not find your insurance carrier listed above please look on your insurance card for their website.

If you are unable to locate your co-payment, deductible and co-insurance information, please call your insurance company to get that information before coming into the office.

Thank you