Preparing for Your Appointment

Please bring the following information with you:

  • Your health insurance card (if we cannot verify your coverage at the time of your appointment, you will be responsible for all charges at time of service)
  • Photo identification
  • A current medication list with name/dose/strength/amount included
  • Copayment required by your health insurer

Market Street Dermatology accepts the insurance carriers listed below. Please contact your insurance carrier prior to making an appointment if your insurance is not listed.  Some insurance plans have narrow networks and we always recommend calling the phone number on your insurance card prior to your appointment to verify if we are in your specific network.

Please contact your insurance carrier to determine if a referral is needed from your primary care physician.  Referrals are the member’s responsibility.  If your claim is denied because your referral was not obtained before your appointment, you will be responsible for the cost of the visit.

  • America’s PPO
  • BlueCross BlueShield
  • HealthPartners
  • LaborCare
  • Medica
  • Medicare
  • PreferredOne
  • SelectCare
  • UnitedHealthCare

 

REQUEST AN APPOINTMENT NOW

 

*If you do not receive a confirmation email or text within 2 business days, please call our office at 612.746.4144 to confirm we received your request.

New Patient Registration Forms

To speed up your time when you visit our office, you can simply print and complete our New Patient Registration forms ahead of time.

MEDICAL HISTORY FORM >

PATIENT REGISTRATION FORM >

FINANCIAL POLICY >

PRINTABLE DIRECTIONS >

Other Forms

MEDICAL RELEASE FORM >

Privacy Policy

We understand the importance of privacy and are committed to maintaining the confidentiality of your medical information.  Below is our Privacy Policy for your review.

PRIVACY POLICY >