Resources

Hours of Operation

Our office hours are:
Monday-Friday: 8:00am – 5:00pm

Patient Forms

New Patients, save time by printing and completing all of the following forms before your first appointment.

• Medical History
• Medical History - Spanish
• Patient Registration
• Patient Registration - Spanish
• Billing Consent
• Medical Record Release
• Medical Record Release - Spanish

In addition, parents who are bringing in a minor will also need the following forms. Teenagers may be treated without the parent's attendance ONLY if the following documents are brought with the patient.

• Minor Consent Form
• Minor Consent Form - Spanish
• Minor Registration

Note: These forms are standard for every new patient visit and in some cases returning patients. Every appointment is different and additional consent forms/paperwork may be required before the completions of certain procedures including, but not limited to: laser treatments, photofacials, microdermabrasions, fillers, and vein therapy.

These files are in PDF format. If you do not have Adobe® Reader® on your computer, you can download it for free by clicking here or on the Get Adobe Reader icon.

• HIPAA Privacy Rights and Operations Guide

Cosmetic Consultation Fee

Doctor/Provider Cosmetic Consultation Fee - $250

Esthetician Cosmetic Consultation Fee - $50

Cosmetic consultation fee is due at the time of your consultation appointment and will be applied toward your future cosmetic procedure. This cosmetic consultation fee only applies to cosmetic consultations, for medical estimates, please contact our Billing Department.

Click here to fill out our online appointment request form.

Cancellation Policy

The providers at Vail | Aspen | Breckenridge | Glenwood Dermatology strive to see all our patients in the most timely and convenient manner possible. As a courtesy, we attempt to contact every patient at least 24 to 48 hours prior to their scheduled appointment to remind them of the date and time. However, it is the responsibility of the patient to arrive for their appointment on time. If you are unable to keep your appointment, we ask that you call our office at least 24 hours in advance so that we may offer this time to another patient in need of care. We currently have a lengthy waiting list for both new and established patients.

For patients that do not contact us prior to missing their cosmetic appointment (at least 24 hours in advance) will be regarded as “no show” and charged for the service scheduled, up to $200. Coolsculpting appointments require a $1500 deposit at the time of booking. Treatment totals of $1500 must be paid in full at the time of booking.

Accepted Insurances

• Aetna/Cofinity PPO
• Anthem Blue Cross & Blue Shield (contact BCBS, we are not in-network with all plans)
• Bright Health PPO
• Great West/CIGNA PPO
• Humana/Choicecare PPO & Medicare Advantage
• Kaiser Permanente (Mountain Colorado plans and PPO-referrals required for some PPO’s)
• Liberty HealthShare
• Medicare
• Medicare Railroad
• MultiPlan/PHCS
• Rocky Mountain Health Plans PPO & HMO (includes Medicare Replacement & CHP+) Exclusions: Rocky Mountain Range, New West, (CSHP) Colorado Springs, Mesa Exclusive and Medicaid.
• The Colorado Health Neighborhood PPO
• The Empire Plan of New York (only certain providers)
• Tricare
• United Healthcare PPO (Some plans require a referral.  PCP has to enter a referral online with UHC)
• VA – Must have authorization
• Valley View Hospital

Please note:

1. We are out-of-network with Medicare HMO Advantage Plans except Humana and RMHP.
2. We are out-of-network with EPO plans
3. We do not see Medicaid patients.
4. We are a specialist and not considered preventative with most insurances.

Health Coverage and Medical Terms

Click Here: Glossary of Health Coverage and Medical Terms

Payment Options

American Express, MasterCard, Visa, Discover, Cash, and Checks.

Pay My Bill

Click Here to Pay Bill Online

DOS after 7/12/20  Click Here to Pay

Please rest assured that all information provided is kept confidential, secure, and HIPAA compliant. Please call the office at (970) 926-9226 if you have any questions.

Please Note: If you have a cosmetic procedure credit, your medical balance will not be accurate. Call the office for current balance or pay the amount listed on your statement.

How to Pay Your Online Bill:

1. Select the MyBillPay Dropdown
2. Select Online Bill Pay
3. Fill our payment information
4. Submit Payment

NEED MORE HELP? Try these tips!

1. Your first name – James not Jimmy, William not Bill? What name did you give the office when you called – what’s listed on your insurance card or driver’s license?
2. Security Code? You must call our office to get your unique security code.
3. Still need assistance? Call us at (970) 926-9226.

billing department

For payments and insurance questions please call our billing department at (970) 926-9226 Option 3

For estimates, please call (970) 926-9226 ext. 310