Payment & Forms

New Dermatology Clinic Patients

For your convenience, we have provided the paperwork for new patients of Dr. Jeff Alexander on-line. To access the paperwork, please click below:

• Before Your Appointment
• Patient Information Record
• Notice of Privacy Practices
• Policy Form

Print, complete and bring with you on your initial visit. You must have Adobe Acrobat Reader to view our forms. To download this free software, click here. Insurance accepted: Aetna PPO, BCBS PPO, Cigna PPO, Community Care PPO, Community Care HMO Senior Health, Coventry, Healthchoice, Medicare, OSMA, Preferred Community Care, Tricare Standard, United Healthcare, Healthcare Highway, Healthcare Solutions, and most Medicare replacement plans.