R.S.B. Dermatology, Inc.  Click to see more information about Dr. Bader

                                                             & Cosmetic Surgery Center  

 

Robert S. Bader, M.D.

Board Certified in Dermatology • Ivy League Trained Physician • Fellowship Trained in Cosmetic Surgery and Mohs' Surgery

Official Dermatologist & Dermatologic Surgeon for the Florida Panthers NHL Hockey Team • Voted one of America's Best Dermatologists 2004-2006

 

Home Up REGISTRATION

Forms

 

REGISTRATION

 

For all new patients, it is recommended that one complete all the necessary new patient forms prior to coming in to the office. You now have 2 options available.

Option 1: Click on the link below to print out forms to complete at home. You may fax the forms to 954-421-3201 along with copies of both sides of your insurance card(s).

In addition, bring in the completed forms to our office along with your insurance card(s). If you do not fax this information at least 2 business days in advance, we will have to enter this information in manually before you are seen. This entry may take up to 20 minutes.

 

Option 2 (recommended): Click on the link below to complete your registration forms online.  This information will be forwarded to our office for immediate entry.  This will save you time when you arrive to our office.  You will have to sign some documents when you arrive, but this should not take much time.

These electronic forms are sent by e-mail and occasionally we do not receive them.  Therefore, please print out your completed forms and bring them with you to the office along with your insurance card(s).

Step 1- read HIPAA POLICY (Optional): HIPAA INFORMATION

Step 2 - print out and complete: registration_forms.pdf

Step 1- read HIPAA POLICY (Optional): HIPAA INFORMATION

Step 2 - read, print out, sign, & bring with you: HIPAA & FINANCIAL POLICY

Step 3 - complete: electronic registration

 
Send mail to webmaster@drbader.com with questions or comments about this web site.
Copyright © 2005 R.S.B. Dermatology, Inc.
Last modified: 09/26/07