New Patient Forms

Welcome to Laing Dermatology & Skin Cancer Center, P.A. Thank you for choosing us to provide your dermatologic care. We are confident your experience with our office will be rewarding; and that the care you receive will be top notch.

Prior to your first visit we do need the forms below filled out in their entirety. Please fill these out even if you have seen Dr. Laing before in another office. You may fill them out online thru our patient portal (recommended) or you may print them and bring them with you to your visit. It is very important you fill them out accurately. When our billers file your insurance claim they go by the information you have given us. If the information is inaccurate or incomplete the billers will not be able to file your claim and you will get sent the bill. If you need assistance filling out any of the forms please do not hesitate to ask. The front office staff and billing staff are happy to answer any questions you have.
Required forms for your first visit at Laing Dermatology & Skin Cancer Center, P.A.:
(links for the below)

In addition to the above 4 completed and signed forms, you will need to bring your drivers license and insurance card to your initial office visit.


We are currently contracted with the following insurances. If your insurance is not listed please mention it to our office manager and we will look into the possibility of becoming
a provider.

Tricare Standard
United Healthcare