The Dermatology Center

Diseases of the Skin and Skin Cancer

Promoting Healthy Skin and a Youthful Appearance

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Dr. Lawrence Meyerson


Dr. Ray Garcia


Dr. Lynne Wurts

Dr. Lynne Wurts


Dr. Mason

Dr. Camille Mason

PATIENT FORMS

Download, print, and then fill out all three forms. Remember to bring them to our office for your patient visit.

Patient Registration Form

Patient Medical History Form

HIPAA Consent form

If you belong to a managed care plan that we participate in, you must show us your insurance card at the time of each visit. You then will only be responsible for your co-payment and any deductible.

If you belong to an HMO be sure to bring your referral with you at the time of your visit or ask your primary care doctor to fax it to us.

Call our office at least 24 hours before your appointment date to be sure we have received it. (We will be unable to see you without a referral.)

 

INSURANCE INFORMATION

We accept the following insurance:


Admar PPO
Aetna PPO, MC, POS, and HMO
Beech Street PPO
Blue Cross POS, PPO, and HMO
Cigna PPO, POS, and HMO
First Health PPO
Great West/One Health Plan PPO and HMO
HealthSmart PPO
Humana PPO
Medicare
Motorola PPO
Mutual of Omaha PPO
North Texas Health Net. PPO, EPO, POS, GEP
PHCS PPO
PPONext
The Principal
ProNet PPO
Texas True Choice PPO
UniCare PPO
United Healthcare PPO, EPO, POS, HMO

The Dermatology Center • Baylor - Irving Medical Office Building II • 2021 N. MacArthur Blvd. Suite 300

Irving, Texas 75061 • 972-254-3118