DERMATOLOGIST HOUSTON, TX - TOP RATED MD
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Note: When sending files, insurance info, prior-authorizations and other paperwork it has to be images (.jpeg or .png), or otherwise must be in pdf format.
Download the Release of Record request
Send Paperwork or insurance Online
Access pathology results via the CLS portal
-Itemized receipt? Ready 2 weeks after the visit. Call 281-942-8001 ext 1133 
-Surprise bills? Insurance sometimes sends denial letters weeks after the visit, especially for certain rare co-insurance or restricted high deductibles plans. This result in your visit being partially covered.   This is rare but we like to make sure patients are aware of thepossibility.  Watch for the EOB insurance will send you with details. ​

Prior authorization for medication requires a special form.

1- Please print this form which is the standardized and required by the state of Texas.

2- Please fill out section I and III and include a mailing address or fax # to for your insurance.
      -Section I tells us who the form goes to, sometimes its the insurance company sometimes its the pharmacy benefits         manager.       
      -Your insurance company can tell you who that is and the contact info for that section.
       -This process can be time consuming. The clinic may charge a fee of up to 75$ to you for the additional time this will         take, outside of the regular visit time.  We do not guarantee insurance will approve the form. With dermatology,        
       insurance often does NOT approve the form - due to the elective nature of our medications/conditions.  The
       exception usually is if you have a life threatening skin condition 


When you are done - Simply upload using the buttons above and we will take care of the rest.  Prior authorization requests will be completed within 2-5 business days.  We are sorry, the process to get medications covered has become more difficult then in the past but we do not make these rules or control this process.  Please understand we will try our best.  The process can take 7-10 business days.

Prior authorization does not guarantee your insurance will agree to pay for the medication. 

Mailing Address:
Please use the Houston NORFOLK office address of
​Mosaic Dermatology Houston


Upper Kirby - West U - River Oaks - Midtown - TMC - Medical center
2211 Norfolk
Suite # 405
Houston TX 77098


The clinic  is open: 
Mon-Thurs 7a - 3p
​Fri  7a - 1130a
You can reach us by phone on weekdays before 12 pm
- Alternatively, scheduling can be done 24 hours a day using the schedule option on this website.
For emergencies call 911
 
 All information contained on this website is intended for informational and educational purposes. The information is not intended nor suited to be a replacement or substitute for professional medical treatment or for professional medical advice relative to a specific medical question or condition.  We urge you to always seek the advice of your physician or medical professional with respect to your medical condition or questions. As a recipient of information from this website, you are not establishing a doctor/patient relationship with any physician, including our Houston Dermatologist. There is no replacement for personal medical treatment and advice from your personal physician. Note you will not be seen without your identification or insurance card information in full.  
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For any emergencies call 911. 
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​ For privacy, hipaa, breach notification, and accessibility please see our hipaa page.
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