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Patient Forms


         Click the icon of the format you would like to use to download the necessary paperwork required for new patient appointments.








Abilene Dermatology takes a wide variety of insurance payments. Please check the list below to see if we take your insurance.


  • Blue Cross Blue Shield

  • Care Improvement Plus

  • Caprock

  • Cigna

  • First Care

  • First Health

  • Aetna

  • HealthSmart

  • Humana

  • Medicare

  • Private Health Care Systems(PHCS)

  • Railroad Medicare

  • United Healthcare


If your insurance is not listed above, please feel free to call our office to confirm coverage prior to your appointment. Payments will be due on the day of service, and you may submit your claim manually to your insurance company. However, we do not guarantee that your insurance company will reimburse you.


We do NOT take:


  • Workers Compensation


Payments are due on the date you come to visit your dermatologist, and the patient is always responsible for any charges incurred that are rejected or not covered by his/her insurance plan.


It is imperative for you to know the details of your insurance plan prior to your dermatologist visit, including any applicable deductibles (general, procedural, surgical or on medications). Knowing the details of your plan is your responsibility.


We accept the following credit cards as well as debit, checks and cash:


  • Visa

  • Mastercard

  • Discover

  • Patients without Medicare or Medicare Replacements

  • Patients with Medicare or Medicare Replacements

  • Minors

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