Skin Surgery Center of Oklahoma | Patient Forms and Insurance

Patient Forms/Insurance

Click the buttons to view, download and print the new patient form and HIPAA privacy policies. Forms are for use by established patients or those with a scheduled appointment only, please.

To schedule an appointment, you must  Contact Us.


Please be sure to bring your current insurance cards with you to each visit. We will need to keep a current copy in your records. You can check your insurance coverage by calling the phone number on the back of your insurance card to check participation status with Dr. Brandon Rhinehart, Dr. Todd Mollet, and Skin Surgery Center of Oklahoma.

If there is any question about our participation with your insurance, please contact us prior to surgery. This will help us to estimate and inform you about any out of pocket expenses.

Participating plans

Skin Surgery Center of Oklahoma currently participates in Medicare, all Medicare supplemental insurances, and most major Oklahoma insurance plans.

We will file claims for all services covered under these plans. You will be asked on the day of your appointment to pay for any services not covered by your insurance. Expenses not covered include deductible, co-insurance, co-pay amounts, occasionally office visits, and cosmetic procedures. Payments may be made by cash, check, or credit card.

American Academy of Dermatology Association
American Society for Dermatologic Surgery
American College of Mohs Surgery
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