Request an Appointment

To request an appointment, please call us at (516) 374-7575.

Below are the Patient Intake, Insurance and Medical History forms that you will need for your visit and in order to update your medical record with any changes or additional information. You can expedite the check in process by downloading these forms, completing them at home, and emailing the forms back to us, along with a copy of the front and back of your insurance card, to the following email address: LishDerm@gmail.com

Patient Intake Forms

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.

We accept Visa and Mastercard credit cards. We accept many major dermatological insurance plans including Aetna, Blue Cross Blue Shield, Empire, Healtnet, Magnacare, Medicare, Oxford, United Healthcare and many others. To find out if we accept your plan, please call our office.