
Our Wish List | Forms | Insurance
Our patient intake forms are available for download. Save yourself some time and complete prior to arriving at your appointment. Bring all your forms with you along with a copy of your driver’s license and insurance card. If you are unable to make a copy of your insurance card and driver’s license, we can do it at the office. All forms are required.
For your convenience, the necessary forms for new patients are bundled together under one link, so that you may print all needed forms at once. Our Privacy Practice and Office & Financial Policies documents are provided separately, as they are not required to bring to our office, rather to print and read for your information.
For your convenience, the necessary forms for Medicare patients are bundled together under one link, so that you may print all needed forms at once. Our Privacy Practice and Office & Financial Policies documents are provided separately, as they are not required to bring to our office, rather to print and read for your information.
Our office participates in the following:
If you are insured under an HMO, you are required to obtain your referral prior to your visit. If you did not request a referral, you may either reschedule your appointment in order to obtain the referral, or you may be seen as a self pay patient accepting services delivered outside your insurance coverage. If obtaining services outside your insurance, a waiver must be signed before the services are rendered.
If you do not have an insurance that is listed above, you will be required to pay for your visit in full. We will provide you with the appropriate statement to submit to your insurance company.
DBA Billing Service, Inc. out of Casselberry, Florida has been retained by our office to handle all billing and processing of claims to insurance companies. Please make all your payments to North Baltimore Dermatology if you were seen in the Sparks office or Advanced Dermatology, Bel Air if you were seen in the Bel Air office. If you have questions about the status of your account, please call 1-888-245-5337. They will have access to all billing information.
We send tissue to an outside reference lab of our choice for slide processing and interpretation. Patients and their insurance companies may receive a bill from the outside laboratory. Any billings you receive should be handled with the insurance company and the laboratory directly.
We look forward to serving your dermatological and cosmetic needs.
We are a multi-provider office and therefore have immediate appointments.
Adult and Pediatric Care; Medical, Surgical, Laser and Cosmetic Dermatology.
Sparks (Hunt Valley)
10 Fila Way
Ste. 205
Hunt Valley, Maryland 21152
410-472-1006
Bel Air
2012 S. Tollgate Rd.
Ste. 200
Bel Air, Maryland 21015
410-569-5151
Hours (for both offices):
Monday - Friday
8:30 a.m. - 4:30 p.m.
For Employment Opportunities, fax your resume to: 410-472-0900.
Informational Sites:
www.aad.org
www.aveneusa.com
www.candelalaser.com
www.dysportusa.com
www.glytone.com
www.obagi.com
www.restylaneusa.com
www.skincancer.org