Welcome to Carrollton Dermatology  Associates, and thank you for choosing our practice!  We are very happy  that we were able to recently schedule you an appointment with one of  our providers.  Please let us know if we can be of any assistance.  If  you will be unable to keep this appointment, we request a 24 hour  notice.

Before your appointment,  please print and complete the Patient Registration form. (Located at  bottom of page) 

Please take time to complete the forms in their entirety.  If an item does not apply to you, you may simply put NA on  the blank.  We need to know as much as possible about your medical  history so that the doctor can provide you with the best possible care available. 

Please remember to bring these forms with you when you come to our office for your appointment.  Please also bring with you your insurance card(s), your picture I.D, and an updated medication list.  Due to frequent changes in health care regarding insurance coverage and preventative care, we  ask that you contact your insurance company and verify your benefits and whether Dr. Feldman is a participating physician with your  personal plan before coming in.  If you have coverage with more  than one insurance company, please call each company to verify coverage.   As of April 1, 2005 we no longer accept Peachcare or any form of Medicaid as a  primary or secondary insurance and we apologize for any inconvenience.  

If there is any part of the package that you will need help with, please bring that to our attention upon your arrival.  

Thank you once again for giving us the opportunity to assist you with your healthcare needs.  We look forward to meeting you!

Sincerely, 

The Staff of Carrollton Dermatology Associates