All patients, whether new or returning, should plan to arrive at our clinic 15 minutes before the scheduled appointment time. Both new and returning patients will need this time to check in.
For your first visit, you should allow extra time to complete initial paperwork, including a medical history form. If you prefer, you may download the forms below, fill them out ahead of time, and bring them with you to your first appointment.
Please note our late policy: If you are 15 minutes late to your appointment, you will need to reschedule your appointment. Out of courtesy to all of our patients, we must enforce this policy.
New Patient Forms
- Patient Information
- History and Intake Form
- HIPAA Patient Consent Form
- Medical Release Form to Central Colorado Dermatology
- Consent Form for Preauthorization to Treat Minors
All patients should provide us with information regarding current medication, including the drug name and dosage. Please also bring information regarding your insurance coverage. If any of this information changes between visits, let us know so that we may update your records.
Additional forms are available on our Download Forms web page.
Patients must bring their insurance card to their appointment. If you do not provide us with insurance information, you will be considered a "self-pay" patient for the visit and payment will be expected at your appointment.
We currently accept the following insurance plans:
- Blue Cross/Blue Shield
- Great West
- Rocky Mountain HMO
- San Luis Valley HMO
- United Healthcare/Pacificare
If you don't see your plan listed, or you have additional insurance questions, please talk to our billing department at (866) 726-9773.
If you do not have insurance, or if you have an insurance plan with which we do not participate, payment in full is expected at the time of your visit. Co-pays will also need to be paid at the time of the visit. As a convenience, we may be able to bill your insurance company for you. However, you remain responsible for payment of the bill regardless of your insurance status. We accept payment in the form of cash, check and credit card.
Our remittance address for bill payments:
Central Colorado Dermatology
P.O. Box 849
Salida, CO 81201
Our office requires 24 hours notice to cancel an appointment. If less than 1 full working day's notice is provided, a cancellation fee of $50 will be added to your account.