Patient Information


Premier Dermatology accepts all major PPO insurance plans and some HMO’s. Multilingual Staff: Korean, Tagalog, Spanish and Indian.


ONLINE BILL PAY for All United Healthcare Plans Login to to pay online!

For billing concerns please contact the billing department: Phone: 650.551.9700.
Billing Department Hours Monday-Friday 9am-4pm

Insurances Accepted

  • Aetna PPO plans 
  • Anthem Blue Cross ( excluding Pathway)
  • Blue Shield of California PPO/EPO
  • Cigna PPO/OA Plus
  • Coventry PPO
  • Galaxy Health Network
  • Health Net PPO/EPO/POS & PureCare
  • Health Net Medicare Advantage
  • Interplan PPO
  • Multiplan PPO
  • Three Rivers Provider Network
  • United Healthcare
  • Sequoia 

New Patient Forms

To fill out and return online, use the forms #1 and #2 . To fill out and bring the forms to your appointment, use the pdf forms. You may fill them out on your computer and print out, or print out and fill out by hand.

Fill out new patient forms below. Please be prepared to show your insurance card along with a photo ID.

Online version of medical forms (forms will be submitted electronically):

PDF FORMS: (same forms as above, but in PDF format – to be printed out and brought to office)


We provide on-site prescription services.