Patient Forms & OFFICE POLICIES

To schedule an appointment with Dr. Kyei please fill out and sign the forms listed below in order to expedite your registration prior to your initial scheduled appointment at Cosmopolitan Dermatology. 

IMPORTANT NOTICE: All appointment cancellations should be made at least 24 hours prior to the scheduled date in order to avoid charges or a fine for not showing up.

New Patient Form (PDF)
 

Cosmopolitan Dermatology currently participates in MOST INSURANCE PLANS INCLUDING...

• Medical Mutual
• Medicare
• Anthem Blue Cross / Blue Shield
• Cigna
• Humana
• Paramount
• Molina and many more...

* Please note: We do not accept insurance for cosmetic procedures
** Please call us with any questions regarding insurance participation.**

 

Office Policies

Thank you for choosing Cosmopolitan Dermatology!  We are committed to providing you with the best dermatological care possible.  Please review a brief explanation of our policies and procedures below.  If you have any questions, please ask one of our staff to assist you with an explanation.  If you require further explanation, the office manager may be contacted.

Thank you, 
Cosmopolitan Dermatology

Refund Policy

Prescription Refills

Financial Policies and Procedures

Notice of Privacy Practices

 

 

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