New Patient Registration2021-10-29T10:32:01-04:00

Let’s get started.

Get ready for your visit to one of our five MetroDerm offices by completing the new patient registration form in advance. This will help us prepare for your visit and speed up the intake process. We look forward to seeing you at your appointment.
Contact Us

Let’s get started.

Get ready for your visit to one of our five MetroDerm offices by completing the new patient registration form in advance. This will help us prepare for your visit and speed up the intake process. We look forward to seeing you at your appointment.
Contact Us

We have some great specials to keep you looking youthful and refreshed.

Check Out the Specials

WE LOOK FORWARD TO SEEING YOU

New Patient Registration

Instructions

  1. Complete form as completely as possible.
  2. Fields that are required must be completed for form to send.
  3. When form successfully sends, the form will disappear and a confirmation message will display at the top of the screen.
  4. If you have trouble submitting the form, it is likely because a required field has not been completed. Review the form for errors and omissions.
  5. Still need help? Call us at 404.257.9933.

Form Not Submitting?

  1. Fields that are required must be completed for form to send.
  2. When form successfully sends, the form will disappear and a confirmation message will display at the top of the screen.
  3. If you have trouble submitting the form, it is likely because a required field has not been completed. Review the form for errors and omissions.
  4. Still need help? Call us at 404.257.9933.
New Patient Registration, MetroDerm, PC

PATIENT FORMS

If at all possible, please complete the appropriate forms in the comfort and privacy of your home and bring the completed forms with you to your appointment. This will help to expedite the check-in process and cause less wait time for you in the reception area.

Please remember to bring your insurance card to your appointment so we can make a copy for your file and ensure that your insurance is filed correctly. There are two ways in which you can complete the forms:

  • Print and fill out by hand
  • Complete using the interactive fields and then print

FINANCIAL POLICY

AUTHORIZATION AND CONSENT

PRE- AND POST-PROCEDURE

FINANCING

We accept all major credit cards, including Visa, MasterCard, Discover, and American Express. In addition, we accept CareCredit financing from Synchrony Financial.

CARECREDIT

New Patient Registration, MetroDerm, PC

We want you to have the decision of when to have a cosmetic procedure, not how you are going to pay for it. For that reason, we offer the nation’s leading patient payment program. CareCredit lets you plan or begin your procedure immediately and then pay for it over time. Monthly payments are low and can easily fit into your budget.

CareCredit offers a comprehensive range of no interest and extended payment plans for procedure fees from $1 to over $25,000. With CareCredit, you pay no up-front costs, no pre-payment penalties, and no fees. Plus, CareCredit is a revolving credit line for additional treatment or add-on charges, without the need to re-apply. It only takes a few minutes to apply for CareCredit, and you may receive an online decision in seconds.

How to Apply for CareCredit

  • Call 800.677.0718 and find out immediately if you have been approved by using the easy, automated system anytime or apply with a live agent 9 a.m. to 9 p.m. Monday through Friday.
  • Go online to complete and submit your application.
APPLY NOW

WE LOOK FORWARD TO SEEING YOU

New Patient Registration

THIS FORM IS BEST COMPLETED ON A DESKTOP OR LAPTOP

Instructions

  1. Complete form as completely as possible.
  2. Fields that are required must be completed for form to send.
  3. When form successfully sends, the form will disappear and a confirmation message will display at the top of the screen.
  4. If you have trouble submitting the form, it is likely because a required field has not been completed. Review the form for errors and omissions.
  5. Still need help? Call us at 404.257.9933.
New Patient Registration, MetroDerm, PC

PATIENT FORMS

If at all possible, please complete the appropriate forms in the comfort and privacy of your home and bring the completed forms with you to your appointment. This will help to expedite the check-in process and cause less wait time for you in the reception area.

Please remember to bring your insurance card to your appointment so we can make a copy for your file and ensure that your insurance is filed correctly. There are two ways in which you can complete the forms:

  • Print and fill out by hand
  • Complete using the interactive fields and then print

FINANCIAL POLICY

AUTHORIZATION AND CONSENT

PRE- AND POST-PROCEDURE

New Patient Registration, MetroDerm, PC

TESTIMONIALS

“Dr. Pearl and her staff are amazing. I can’t speak highly enough about them all.”

Christye N.
“I have always had the best of care from Dr. Niren. I’ve been going to her since 1986, and I have nothing but praise for her professionalism and the time she spends with me.”
Debbie J.

“Dr. Papadopoulos did a wonderful job on my recent surgical procedure on my arm. He made me feel at ease and explained everything to me in terms that I could understand. He was precise and succinct during the surgery, and my recovery could not have gone any smoother. I highly recommend Dr. Papadopoulos for any and all skin cancer surgery.”

Martha R.
“I have been going to Dr. Alford for several years. She is great! She is so pleasant and listens to any concerns you may have. She is thorough and professional. I always look forward to seeing her. If you’re looking for a great dermatologist, I highly recommend Dr. Alford.”
Robyn C.
“I’ve been a patient of Dr. Garvey for a little more than six months. She has provided me relief from a serious varicose vein issue. I couldn’t be happier or more impressed with her knowledge, skill, and bedside manner. She has my highest recommendation. Her nurse, Eulene, and office manager, Chris, are also wonderful. Thanks to Dr. Garvey and team!”
Al G.

“Dr. McClure has no peer in his field. Apart from his incredible skill as a surgeon, he is also wise and compassionate, too. He knows when it’s the right thing to do nothing. I would not be alive today were it not for his treatment of my melanoma years ago. My wife and I trust him more than any other doctor whom we have ever known.”

Robert H.

“I’ve been Dr. Kim’s patient for over 10 years and she is amazing! I recommend her to everyone and am grateful for the care and compassion she has shown me. Unfortunately, because of my skin, I see her a lot, but she makes visits and procedures as stress free as possible.”

Tara F.
“Dr. Neckman came highly recommended by my wife, and I was a little nervous on my first visit. She made me feel very comfortable and almost like a sister was looking out for her brother. She explained everything very well and took care of me with speed and compassion. Couldn’t recommend a dermatologist more.”
Tony M.
“Dr. Berghoff has been my doctor for years and has identified and repaired significant skin issues on several occasions that could have resulted in serious health issues. I always leave his office feeling like I know what my skin health is!”
John P.

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