New Patient Forms

New patients are always welcome at Lubbock Dermatology and Skin Cancer Center. If you are a new patient, please fill out the forms below and bring them with you to your first appointment.

• New Patient Information
  
  
• Patient History for Medical Records
  
  
• Notice of Privacy Practices

Note: You will need Adobe Acrobat Reader to view these forms. If you do not have Adobe Acrobat Reader, you may download it by clicking on the "Download Acrobat Reader" icon on the right.

Insurance

Always bring your current insurance card when you visit us. Co-pays for office visits and procedures are due at the time of visit.

We accept Medicaid (by physician referral only) and Medicare. Other insurance policies accepted at our office are:

• FirstCare
• Blue Cross/Blue Shield
• HMO Blue
• Unicare
• Accountable Health Plans
• Insurance Management Services
• TRS Coordinated Care
• National Healthcare Alliance
• HealthSmart
• Texas True Choice
• ProNet

Billing & Payment

Lubbock Dermatology and Skin Cancer Center accepts the following credit cards:

As a service to our patients, we are pleased to offer the CareCredit card, North America's leading patient payment program. CareCredit has a full range of payment plans to meet every financing need, including no interest and low interest options, each with low monthly payments and no upfront costs. It's easy to apply and you'll receive an online decision in seconds. Click on the icon below to apply now or contact us for more details.