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New Patients Forms

Become a New Patient at Cosmopolitan Dermatology in Shaker Heights, OH

At Cosmopolitan Dermatology, we accept new patients. Please carefully read this page below and gather the necessary details. Fill out our new patient form. For more information, contact us or schedule an appointment online.

Your first visit to Cosmopolitan Dermatology involves a few special steps so that we can get to know you. To understand what to expect, please read through this page. You’ll find all the practical information you need, such as a map and directions to our office, practice hours, payment policies and more. There’s also background information about our committed staff and our first visit procedures. You can also save some time by printing out and completing the patient forms in advance of your appointment.

Mission Statement

Our practice is working together to realize a shared vision of uncompromising excellence in dermatology.

To fulfill this mission, we are committed to:

– Listening to those we are privileged to serve.
– Earn the trust and respect of patients, profession and community.
– Exceed your expectations.
– Ensure a creative, challenging and compassionate professional environment.
– Strive for continuous improvement at all levels.

Patients 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.

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
Notice of Privacy Practices
Prescription Refills
Financial Policies and Procedures

What To Expect

Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It will also help alleviate any unnecessary anxiety you may be feeling prior to your first appointment. Educate yourself on your symptoms by reviewing the content on this Web site. Also, take some time to review our staff page and familiarize yourself with the doctors. We look forward to your first visit.