Dermatology Associates of Bryn Mawr Medical Specialists

Rochelle R. Weiss, M.D.
Daniel B. Roling, M.D.
Caroline M. Groft-MacFarlane,M.D., Ph.D.
Matthew E. Halpern, M.D.
Danielle M. DeHoratius, M.D.
Michael D. Gober, M.D., Ph.D.
Jocelyn M. Confino, MPAS, P.A.-C
Kathryn M. Smore, MPAS, P.A.-C

Patient Info & Forms

New Patient Paperwork

All new patients need to complete new patient paperwork. For your convenience, the forms are available for download. Print, complete and bring the forms to your appointment.


Patient Registration 
PDF Download

Medical History 
PDF Download

Financial Policy
 PDF Download

HIPPA Acknowledge Receipt 
PDF Download

** Please bring your insurance card and co-payment (if applicable) to your appointment.
If your insurance requires a referral, please be sure to contact your PCP prior to your appointment or we may have the reschedule you.
If you are unable to do so, please call ahead to make appropriate arrangements.

 

Contact the Business Office For:

• An explanation of your bill
• Payment arrangements
• Other billing or insurance related questions and information

610-527-3800 ext. 200

 

Customer Service

Please call us if you have any questions or need assistance.
Our office can be reached at 610-642-1090 during the following hours:

Monday     8:00 AM-12:00PM and 1:00 PM to 5:00PM
Tuesday    8:00 AM-12:00PM and 1:00 PM to 5:00PM
Wednesday    8:00 AM-12:00PM and 1:00 PM to 5:00PM
Thursday    8:00 AM-12:00PM and 1:00 PM to 5:00PM
Friday        8:00 AM-12:00PM and 1:00 PM to 4:00PM

We may ask that you reschedule your appointment if you are 20 minutes or more late.

We do our best to see our patients on time and give each patient the individual attention they deserve.

 

Insurance plans we accept:

Medicare
Independence Blue Cross
Keystone
Personal Choice
Blue Shield (Highmark)
Commercial Insurance
Aetna
Cigna
Coventry
Amerihealth HMO
Oxford
Devon Health
Multiplan
Americhoice
Private Healthcare (PHCS)
Intergroup
MAMSI
Contact us if your insurance plan is not listed.