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New Patient Forms

There are some simple things you can do at home to get ready for your first visit, so we can spend more time on what really matters to you.

Please view and fill out the forms below prior to your appointment. If you have any questions regarding any of the forms, please contact our office at 410.252.9090.

New Patient Paperwork

At Skin Care Specialty Physicians we treat your right to privacy with the utmost care. We will only discuss your medical information with yourself or those people authorized in our system. If you would like to add someone, feel free to give us a call or fill out our HIPPA Form in the packet above and bring it with you to your appointment.

Skin Surgery Patients

If you are scheduled to undergo surgery at our Mohs & Skin Surgery Center with Dr. Saif Syed, Dr. Zain Syed, or Dr. Amita Bagal, please complete the forms in the packet below prior to your appointment and bring them with you on the day of your surgery. Please call our office at 410.252.9090 if you have any questions.

Mohs & Skin Surgery Packet


INSURANCE INFORMATION

We participate with many managed care and PPO plans. Please see the insurances we participate with below. If you do not see your plan, please give us a call at 410.252.9090

Please Note: If your insurance plan requires prior authorization or referral to our office, please remember to get your referral and provide this information before seeing the physician. Without a referral, we will have to reschedule your appointment, or you have the option to pay at the time of service. We will require an insurance waiver to be signed.