New Patient Form (click to download)
If you have any questions or concerns regarding the forms, we will be happy to assist you in the office. If you are unable to complete the forms prior to your appointment, we kindly request you arrive 10 minutes prior to your scheduled appointment to complete them here.
Please find our Notice of Privacy Practices to the left.
We are happy to provide brochures and/or patient literature. Please contact us at email@example.com or call the Aesthetic Solutions office at 919-403-6200.
Register for our secure patient portal through www.solutionreach.com. On this site you can: pay bills online, check scheduled appointments and request new appointments, send secure messages to our office, download new patient forms and images, set preferences on email and cell phone, and send memos to yourself.
We currently accept the following insurance plans for general dermatology visits. Please note that insurance does not cover aesthetic or cosmetic dermatologic visits.
- Aetna (Combined Coventry/WellPath/Duke Select or Basic)
- Blue Cross Blue Shield/PPO Medicare (Except Blue Value or HMO/Medicare plans)
- Cigna (Except Connect Network plan)
- United Healthcare
- Marketplace Insurance (Varies – please call and check with us)
If you are unsure if your treatment may be covered by insurance, call us at (919) 338-5007. Please note that it is the patient’s responsibility to obtain referrals from your Primary Care Physician PRIOR to your visit here. For many procedures, a prior authorization must be obtained from your insurance company before services are rendered to ensure coverage is approved.