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Kristine A. Romine, M. D.
Adrea Maher, L.E
Kim Hendricks, CPC
Molly Moloznik, PA-C
Keri Hespelt, L.E
Jaime Reuter, PA-C
Reilly Hartman, CMLT
General
Skin Cancer Screening
Mole & Wart Removal
Acne
Psoriasis
Eczema
Rash
Rosacea
Actinic Keratoses (AK)
Vitiligo
Cosmetic
BOTOX
®
Cosmetic
Juvederm
®
Restylane
®
Perlane
Sculptra
®
Radiesse
®
Vi Peel™
SilkPeel
®
Laser
Hair Removal
Photofacial
Non-Ablative Laser Therapy
Vascular Laser
Photodynamic Therapy
Pearl Fractional
Isolaz Laser Acne Treatment
For Patients
Payment Methods We Accept
Mastercard
Visa
Discover
American Express
Cash
Insurance Carriers We Accept
Aetna
AZ Foundation
Blue Cross Blue Shield
Banner
Cigna
First Health
Great West
HealthNet
Humana
Medicare
Pacificare
Pacificare Secure Horizons
PHCS
United Health Care
If your insurance carrier is not listed above, please contact our billing office to see if we’ve recently added it.
New Patient Forms
Please complete and bring in the following forms to your appointment:
Patient Information
Dermatology Medical History
Please also remember to bring the following to your appointment as well:
Driver’s License
Insurance Card
Existing Patients (If longer than 1 year ago):
Dermatology Medical History
Consent To Treat A Minor
If you are the parent or legal guardian of a patient who is a minor, and wish to allow the patient to be seen by a provider without his or her parent or legal guardian, please complete and forward to us the following form:
Consent to Treat A Minor
Phoenix Office
Camelback Dermatology & Skin Surgery
4350 E. Camelback Rd., Suite A-200
Phoenix, AZ 85018
Tel: 602-954-7546
Fax: 602-952-2941