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Patient Forms & Policies

What you need to know before your appointment with Chicago’s preferred dermatologists.

Empowerment through transparency.

What to Know Before Your Dermatology Appointment in Chicago, IL

It’s important to each of us at Skin MD that our patients are informed, confident, and completely aware about the entire care process. We strive for utmost transparency in our billing, scheduling, services, and pricing. When you know all there is to know about the care you’re getting, you can focus better on healing and moving forward.

Browse our patient policies below and reach out with any questions. You can call us today at 708-636-3767 or contact us online. Find a Skin MD location in a Chicago neighborhood near you or get answers to common questions on our FAQs page.

Ready to Schedule Your Visit With the Dermatologists at Skin MD?

If you’re suffering from chronic skin conditions, worried about a suspicious mole, or are finally ready for your first cosmetic injectable appointment, call the experts at Skin MD today.

The No Surprises Act & Good Faith Estimates

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, healthcare providers must give an estimate of the bill for medical items and services to patients who don’t have insurance or who are not using insurance

  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
  • Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your healthcare provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
  • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
  • Make sure to save a copy or picture of your Good Faith Estimate.


For questions or more information about your right to a Good Faith Estimate, visit the Centers for Medicare & Medicaid Services.

Notice for Pediatric Dermatology Patients & Guardians

At Skin MD, we want to be a part of how you teach your child to seek care and how to interact with healthcare providers. Children are curious about their treatments, their ailments, and the next steps in their care process.

To treat our youngest patients safely and effectively, we require that all minors be accompanied by a legal guardian. Otherwise, we may not be able to offer the care that our pediatric dermatology patients need.

If you have questions about this policy, please contact us today.

Patient Forms

As of February, 2023, Skin MD has migrated our patient forms and filing to an electronic medical record system. As a result, all patient forms must be completed electronically in our office. We apologize for any inconvenience.

Schedule Your Appointment With Skin MD Today

If you’re ready to explore the newest acne treatments, or if you’re trying to get ahead of a family history by scheduling your skin cancer screening, Skin MD can help. With four locations throughout the Chicago Metro Area—including Orland Park, Skokie, and Evergreen Park—we’re serving a community near you.

Schedule your appointment online or give us a call at 708-636-3767 today. At Skin MD, healthcare, self-care, and confidence are just a phone call away.