Patient Resources
Please download, fill out, save, and print these forms and bring them with you to your first visit to Laser Skin Care Center:
- MEDICAL RELEASE FORMS
Download and complete the form. Once done bring the form with you to the appointment
- CARECREDIT® ONLINE APPLICATION*
*Please complete the Care Credit application. The program has a $300 minimum charge with the other programs having a $1,000 minimum charge.
- Patients Requesting Medical Records
If you are our patient and would like to request your medical records, please click on the link below to complete your request for medical records. You will be required to provide a valid email address and a government-issued ID.
Click here to submit a request for medical records
- Third-Party Requestors for Medical Records
If you are an attorney, insurance company, or any other entity requesting records from our facility, please click on the link below to upload your request along with the patient’s authorization.
Click here to submit a request for medical records
Scheduling Your Visit
We are always accepting new patients and are the preferred provider for many HMO and PPO plans, including but not limited to:
- Aetna
- Anthem Blue Cross
- Blue Shield
- United Healthcare
- Medicare
- CIGNA
- Health Net
- MemorialCare
If your insurance plan is not listed, please call the office as we accept more plans than we can list!
Before Your Visit
Prior to your visit, you will receive an appointment confirmation text or email from us. If this is your first visit, you will also be prompted to complete your new patient intake forms. Clicking the link to confirm your appointment will automatically lead you to complete your patient registration and prompt you through the entire process. It’s easy to fill out, and we will remember your answers for your next visit, so you only have to make necessary changes in the future.
Registering before your visit helps us serve you better and faster when you come into the office. We understand that sometimes it can be difficult to fill out forms on a mobile device or computer, which is why we do offer the option to do it on our iPads in the office. Please arrive at least 15 minutes early to fill out your pre-visit information on our electronic iPads if you cannot complete it before your appointment.
Financing for Cosmetic Procedures
Laser Skin Care Center accepts several payment options when paying for cosmetic treatments. We accept Visa, Mastercard, American Express, Discover, personal checks, cash, and CareCredit® as payment for services. Please contact us for payment option details.
We offer FREE FINANCING* through CareCredit. Please click the CareCredit button below for details, to apply for CareCredit, and to estimate your monthly payment with their online payment calculator.
*Treatments must be paid in full within the specified promotional period in order to qualify for interest-free financing.
Laser Skin Care Center Dermatology Associates
Referring Physicians
Please Fax: (562) 997-9881
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