Office Address
1548 East 4500 South, Suite 202
Salt Lake City, UT 84117
Telephone: (801) 266-8841
Fax: (801) 266-0449
Office Hours
Monday - Thursday
From 7:00 a.m. until 5:30 p.m.
Request Information
Information on Specials and Promotions
Research Opportunities
For information about research studies,
go to:
www.dermatologyresearch.net
New Patient Paperwork
New Medicare Patient Paperwork
- Medicare Billing Information Form (PDF)
- Medical History Form (PDF)
- Medicare Release of Information (PDF)
- Notice of Privacy Practices
Helpful Information
- Authorization For Information Release (PDF)
- Information about appointments and billing
- Common Insurance Questions
- Late Arrivals Policy
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