Patient Forms

Please bring your insurance card and driver’s license to each visit.

If you are a new patient, you may print out a copy of the Medical History Form below and bring it with you at your first visit, fax to (888)505-2650 or EMAIL it.

Insurance & Billing

If you do not see your insurance provider listed below, please contact our office and we will help you verify coverage.

  • Aetna PPO
  • Anthem Blue Cross and Blue Shield PPO and PAR
  • Beech Street Network PPO
  • Cigna PPO
  • Cofinity PPO
  • Colorado Network PPO
  • Great West Health Plans PPO
  • Humana ChoiceCare PPO
  • Medicare
  • Multiplan/Private Health Care Systems PPO
  • Pacificare PPO
  • Rocky Mountain Health Plans PPO and HMO
  • United Healthcare PPO

Patient Portal

As an existing patient of Mountain Dermatology Specialists you have electronic access to your medical information. Your secure login may be obtained from our office. Once you have your user id and password you may access and update your information at

Please contact our office for further assistance. Call 970-926-1800 or email.