Come Prepared! Download our patient intake forms.


Visiting Our Dermatology Center? Here’s All the Details You Need!

Office Hours

Monday: 8am–5pm Tuesday: 8am–5pm Wednesday: 8am–5pm Thursday: 8am–5pm Friday: 8am–4:30pm

Patient Forms

New Patient Registration Form
Medical Information Form
Consent to Treat Form
Notice of Privacy Practices Form

First Visit

Please arrive 15 minutes early to fill out the needed forms if you cannot access the forms online. Please bring with you the following:
  • All insurance including your card(s) with group or plan numbers
  • Your ID number and mailing address for both primary and secondary insurance carriers
  • A list of all prescription and non-prescription medications you are currently and have recently been prescribed
  • All dermatologic medications you have been using for your skin condition

Insurance Information

CU Dermatology – Boulder is happy to accept most forms of insurance including:
  • Blue Cross Blue Shield
  • Aetna
  • Cigna
  • United Healthcare
  • Medicare
We are sorry to inform you we do not currently accept Kaiser insurance or Medicaid insurance.

Click Here To Contact Us