Patient Forms
Insurances Accepted
Helpful Resources
Patient Resources
Common Diagnosis
Care Instructions
Medical Release Form
Be Prepared.
Please print and fill out the appropriate forms and bring them with you to your first visit. Thank you!
For your convenience, we have provided the forms that you will need for your appointment at The Dermatology Center of New Jersey in PDF format. If medication list exceeds the section we have provided please bring in a separate medication list. If you will be using insurance, please also bring your insurance card and any pharmacy prescription cards with you to your appointment. Click the button below to download a four page PDF that contains Patient Registration, Health History and Acknowledgement of Office Policies.
Insurances Accepted
A - F
AARP
AETNA
AMERIGROUP
AMERIHEALTH
APWU
BANKERSLIFE
BOLLINGER
BRAVEN HEALTH
CHAMP VA
CIGNA
CORE SOURCE
COVENTRY
FIRST MAN. CARE
G - M
GEHA
GENWORTH
GILSBAR
GREAT WEST
GUARDIAN
HEALTH AMERICA
HEALTH FIRST
HEALTH REPUBLIC
HORIZON BCBS
HUMANA
KEYSTONE
KLAIS
MAGNA CARE
MARSH AFFINITY
MEDICARE
MEDIPLUS
MERITAIN
N - Z
NJ CARPENTER
NALC
1199 NATIONAL
NIPPON
POMCO
PRIORITY HEALTH
QUALCARE
SEVEN CORNERS
SISCO
TRICARE
UNITED MEDICARE, PPO
UNIVAL
US FAMILY HEALTH
VANBREDA
ZURICH
Helpful Links.
Take a look at some helpful web links and learn about common skin conditions!
American Academy of Dermatology
Alopecia Areata Foundation
American Vitiligo Research Foundation
National Psoriasis Foundation
Skin Cancer Foundation
What to know more about common diagnosis you may find on your visit summary?
Click to learn about them!
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Actinic Keratosis is a pre-cancerous area of thick, scaly, or crusty skin.
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An angioma is a growth produced by the dilatation or new formation of blood vessels
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Acanthosis nigricans (AN) is a skin condition that causes dark, velvety patches in areas like the neck, armpits, and groin.
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Contact dermatitis is an itchy rash caused by direct contact with a substance or an allergic reaction to it.
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Cysts are abnormal sacs filled with fluid, air, or other substances that can form anywhere in the body.
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Dermatitis is a common skin condition that causes inflammation, itching, and dryness of the skin.
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Dermatofibromas are benign skin nodules that feel firm and dimple when pinched. They may be triggered by minor injuries, such as insect bites or ingrown hairs.
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Intertrigo is inflammation caused by skin-to-skin friction, most often in warm, moist areas of the body, such as the groin, between folds of skin on the abdomen, under the breasts, under the arms or between toes.
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A lentigo is a small pigmented spot on the skin with a clearly defined edge, surrounded by normal-appearing skin. These spots are usually tan, brown, or black in color
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Melasma is a tan or dark skin discoloration. Melasma is thought to be caused by sun exposure, genetic predisposition, hormone changes, and skin irritation.
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Nevus (plural: nevi) is the medical term for a mole.
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Pruritus is the medical term for itchiness, a sensation that makes you want to scratch your skin.
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Telogen effluvium is a type of temporary hair loss caused by a stressor or change to your body.
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Telangiectasias, also known as spider veins, are small dilated blood vessels that can occur near the surface of the skin or mucous membranes, measuring between 0.5 and 1 millimeter in diameter.
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Tinea Pedis, commonly known as Athlete’s foot is a fungal infection of skin, usually occurs in between the toes.
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Tinea versicolor is a common skin infection caused by yeast that changes the color of your skin patches. The patches can be lighter or darker than your normal skin tone and may itch or flake.
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Seborrheic dermatitis is a skin condition that causes red, flaky, and itchy patches on oily areas of the body, such as the scalp, face, and chest.
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Seborrheic keratosis is a harmless skin growth that looks like a waxy or scaly bump. It usually appears after age 40 and can affect any part of the body, but more often the face, neck, chest, and back.
Need to authorize for a release of protected health information? Download and fill out the form below.
Care Instructions
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We have applied a dressing on your sutures that is gauze with Hypafix tape on top. This layer can be removed the next morning.
Once dressing is removed all you need to do is wash with soap & water and apply Vaseline daily with CLEAN HANDS.
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We have applied a dressing on your sutures that is gauze with Hypafix tape on top. This layer can be removed the next morning.
The next layer is rectangular shaped paper tape that has Mastisol (Liquid Adhesive) on it. This should stay on for the duration your sutures are in or majority of the time.
**If this layer were to fall off, all you need to do is wash with soap & water and apply Vaseline daily with CLEAN HANDS.**
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Clean the area with soap and water.
Apply Vaseline (or any brand of regular Petroleum Jelly) ointment.
THE AREA MAY BLISTER, DO NOT EXTRACT BLISTER PREMATURALLY.
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Leave your bandage on until tomorrow morning, then repeat the following instructions TWICE A DAY, every morning and evening:
Clean the area with soap and water.
Apply Vaseline (or any brand of regular Petroleum Jelly) ointment and a bandage. If the bandage irritates you, use paper Micropore tape with gauze as a bandage.
Follow this procedure until the wound has totally healed. HEALED means that the hole in the skin that you have after the procedure has completely closed. It does not mean that you have a scab covering the hole.
It is a common misconception that open wounds heal faster. Numerous scientific studies have shown that this is not true. Moist ( coated with ointment ), covered wounds heal faster. It is important to note that many healing wounds get a bit red, have some mild discharge and generally look “yucky” - this is NORMAL and does not necessarily mean that there is an infection. An infection generally has pain and swelling that worsens with time.