To make your appointment process as easy as possible we have provided the following information for both new and returning patients. We look forward to seeing you. Please contact us with any questions you might have regarding your visit to our clinic.

If this is your first visit, please see our New Patients section below.
Appointments
To schedule an appointment please contact us by phone at 734-475-3221 during office hours. Our office hours are 8:00 am -12 pm and 1:00pm - 5:00 pm, Monday through Friday, with extended hours until 6:00 pm on Thursday.
For any emergency issues please contact:

Emergency Services - 911
Chelsea Community Hospital - 734-475-4040
New Patients
We look forward to seeing you!

Forms
Prior to your first visit, you will need to complete several forms (listed below). These are provided here for you to download, print and fill out before your appointment. If you are unable to complete these tasks ahead of time, please allow an additional 20 minutes at our office prior to your scheduled check-in time. Failure to do so may result in the need to reschedule your appointment.
Insurance
Please bring your insurance card with you for your visit. Without this verification of insurance, full payment for your visit will be due upon check out.
Please refer to the Insurance Carriers section below for a complete list of all insurance providers we accept and additional insurance information.
Check-In
Please note that we ask you to arrive at our office 15 minutes (20 minutes for new patients) prior to your appointment time with the physician or physician assistant, so that we may complete the necessary administrative and clinical duties which accompany every visit.
This added time allows us to provide you with the level of service that we strive to achieve for each and every patient.
Location and Parking
Our offices are located on the third floor (Suite 308) of the Professional Building on the campus of Chelsea Community Hospital. Click here for address, directions and map information.
Free parking is available on site at the Professional Building.
Prescription Refills
Please have your pharmacy fax your prescription refill requests to our office at (734) 475-6411.
Cancellation and Late Policy
If you should need to cancel your appointment, kindly provide at least 24 hours notice.

Please note, in some cases our physicians may not have another open appointment for several weeks. Appointments canceled with 24 hour or greater notice will receive priority in rescheduling.

In consideration of our other patients, we have enacted a late arrival policy. Please understand that if you arrive more than 15 minutes late for your check-in time, we may have to reschedule your appointment.
We know that your time is valuable and we make every effort to see you in a timely manner. However, the quality of your healthcare and that of other patients is our highest priority. Therefore, there may be times when you or another patient simply require more time than was anticipated. We appreciate your patience and understanding, and apologize for any unforeseen delays in your visit.
Billing and Payments
We will submit your claim to your insurance carrier on your behalf. Submission of claims is not a guarantee of payment. Please refer to your policy for coverage and benefits.

Co-pays required by your insurance company are due at the time of service. Please expect to pay these co-pays at the end of your visit.

Submitting a claim does not guarantee payment by your insurance carrier and any balance unpaid by the carrier will be your responsibility.

If you have concerns about a procedure being covered, please contact us or your provider to clarify what will be covered as part of your policy.
Please provide a current insurance card at check-in for your appointment.

Please note, cosmetic procedures are not covered by insurance plans. Be prepared to pay for these procedures at the time of your appointment.

For billing inquiries, please contact us at 734-475-3221, during office hours. Our billing specialist is available to address your concerns Monday through Thursday.
Insurance Carriers
Chelsea Dermatology participates with the insurance Carriers listed below. If we are a participating member of your insurance plan, we will submit your claim on your behalf.
• Aetna
• Blue Cross Blue Shield
• BCN
• Blue Preferred Plus
• Cigna
• Cofinity
• HAP
• Medicare
• Medicare Advantage
• Medicare Plus Blue
• PCN
• PHP
• Priority Health
• Railroad Medicare
• Tricare Standard
(Tricare Prime requires referral)
Office Information
Our office is open 8:00 am-12:00 pm and 1:00 - 5:00 pm, Monday-Friday, with extended hours until 6:00 pm on Thursday. For detailed contact information please click here.

Our office is located in Chelsea, Michigan on the campus of Chelsea Community Hospital. For directions and additional information, please click here.

Chelsea Dermatology
Professional Building, Suite 308
14650 E. Old US 12
Chelsea, MI 48118

Tel: (734) 475-3221
Fax: (734) 475-6411
Forms

To download forms please select the form needed below or select Download All Forms. Click selection to download.