New Patients

Plan to arrive 20 minutes early to allow processing of new patient paper work.

Bring With You:

  • Photo ID
  • Insurance card
  • New patient paperwork filled out
  • Medication list


If coming for a skin check, please plan for us to check your skin. Please avoid make up, nail polish, intricate sprayed hair styles, and pantyhose that may hide potentially concerning lesions. If unable to avoid the above, please be prepared to remove them before your exam.

Referrals:
If your insurance requires a referral to see a specialist, please request it from your primary care provider and allow sufficient time for processing before your appointment. Most providers require 48 hours notice for referrals.

Forms:
New patient paperwork and forms may be downloaded and printed below. Please be sure to print both the “New Patient Registration” and the “Patient Medical History” form.

Minors:
Please remember that patients under the age of 18 yrs must be accompanied by their parent or guardian at their first visit, subsequent unaccompanied visits will require a signed consent.

If you have any questions, please contact us.

The forms below are available for downloading. Please feel free to print them out, complete them and bring them to your first visit.


Click to download Adobe Reader


Insurance providers

Coastal Dermatology works with several different insurance providers. To confirm your insurance coverage, please feel free to contact us or your carrier.

American Academy of Dermatology

AARP
AETNA
ANTHEM BCBS OF VA
ANTHEM HEALTHKEEPERS
CIGNA
COVENTRY MH
GEHA
HUMANA
MAMSI

MEDCO HEALTH
MEDICARE
ONE NET/MAMSI
OPTIMA-SENTARA
TRICARE FOR LIFE
TRICARE HEALTHNET
UMR
UNITED HEALTHCARE


3176 HOLLAND RD., SUITE 103
VIRGINIA BEACH, VA 23453
Tel: (757) 368-SKIN (7546)
Fax: (757) 368-DERM (3376)

HOURS OF OPERATION
Mon-Fri: 8:00 am - 5:00 pm