Please be sure to bring your insurance card(s) and a valid picture ID that has your current mailing address with you to your first visit. If you forget to bring these items you will be asked to reschedule.
Below are our information forms. Please fill out all pertinent forms prior to coming in for your visit to MacInnis Dermatology.
Patient Rights and Protections Against Surprise Medical Bills If you have private health insurance, there are protections in place that provide visibility to your planned medical charges and fees when requested. If you’re uninsured or you decide not to use your health insurance healthcare services, under these protections, you can often get a good faith estimate of the cost of your care up front, before your visit. Patients who are uninsured or who choose not to utilize insurance coverage for medical services have the right to request a good faith estimate for the total expected costs prior to receiving care. For cash-pay patients, a breakdown of costs for any tests or procedures beyond the overall medical visit charge are shared at the time of the visit. You can request a paper copy of this estimate from our office at any time. We will also keep a copy on file in your patient chart for future reference if need be. If the bill you receive is at least $400 more than your good faith estimate, you can dispute the charges. You have 120 days from the date on your bill to do so. For questions or more information about your rights under the ‘No Surprises Act’, visit www.cms.gov/nosurprises.
Currently we do not participate with the Medicaid insurance. Sorry for the inconvenience. We are more than happy to see any patients that do not have insurance coverage. If your insurance is not listed below, please contact our office.
Please log into the patient portal to request a prescription refill or communicate a message to one of the staff members. You may contact the office via phone to request refills, however the patient portal will provide a quicker response time. Do not send an e-mail request