New form for all patients. Please review and sign prior to appointment. Effective immediately. Click here to download the PDF.

New Patient Appointment Tips

To save time filling out forms for your first appointment, you can download the New Patient Forms prior.

New Patient Form
Notice of Privacy Practice
Patient History

Approved Insurances

We accept a variety of insurances plans which are listed below. If you do not see your insurance company listed, please call our office as we may accept it.

• Aetna
• Benesight
• Blue Cross Blue Shield Of Florida
• Cigna
• FHHS
• First Health
• FMH Benefits
• Fortis Insurance
• Great West Healthcare
• Golden Rule
• Harrington Benefits Services
• Humana PPO
• Medicare
• MultiPlan
• PHCS
• Preferred Benefit
• Principal Life
• Tricare
• United Healthcare

Consent Forms

Consent forms for a number of our procedures

Treatment for Minors Consent
Consent for Clinical Procedure
Consent for Surgery Procedure
Medical Release Consent
A.R.N.P. Consent
P.A. Consent

Information Articles

Helpful articles written by the staff at Mid Florida Dermatology Associates:

Non-Surgical Facelift