This form should not be used to relay medical information.  It is provided to send NON-MEDICAL QUESTIONS ONLY. Instead all medical questions and information should be submitted when you REGISTER and send your case using DermUtopia’s HIPAA compliant platform.

    Phone: (703) 229-2544

    Fax: (209) 759-4655

    Participating Insurances

    • Medicare
    • BlueCross BlueShield

    Billing questions contact Shelley Reinoehl

    • Phone (888) 775-0200
    • Fax (443) 262-9725

    Additional patient forms

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