Patient Information
Welcome to Village Dermatology & Cosmetic Surgery!
We are pleased that you have chosen us to care for your dermatologic needs. Our goal is to provide you with compassionate, accessible and quality dermatologic care for your skin, hair, and nails. Dr. Thi Tran specializes in derma-surgery and the diagnosis and treatment of skin cancer. Your skin care is important to us and Dr. Tran will take his time to address your concerns both medically and surgically. Each member of our staff is dedicated to making your visit a positive and educational experience. However, emergencies and unexpected delays during patient care may occur. We will do our best to minimize such delays. Thank you very much for your understanding and patience.
New Patient Forms
Please help us to provide you with the best care by taking the time to review and complete the new patient forms.
Please complete the new patient forms in advance of your first visit. You can send the forms back by mail, drop them off at our office or bring them with you on your first visit. In addition, Village Dermatology & Cosmetic Surgery is requiring all patients to bring 2 forms of identification: please bring your (1) STATE/GOVERNMENT ISSUED DRIVER’S LICENSE or NON-DRIVER IDENTFICATION CARD and (2) CURRENT INSURANCE CARD(S).
Should you have any questions regarding the forms, please do not hesitate to call us. We look forward to seeing you in our office so that we can get to know you better.
Note: When you come for your appointment, please do not wear any fragrances such as perfume, lotion, or aftershave.
Disclosure of Medical Records
Please fill out these forms to authorize the release of your medical records to or from Village Dermatology. Once completed, you may fax it to 352-205-7777 or mail it to our office at 1950 Laurel Manor Dr., Ste 224, The Villages, FL 32162.
Note to Patients: Please allow 2 to 5 business days from the date we received your signed form to complete your request.
Please select this form if you would like your medical records be released from Village Dermatology.
Please select this form if you would like your medical records sent to Village Dermatology.
Insurance Information
We are in-network of the following insurances:
- Standard Medicare (Part B) and Most Supplemental Insurances
- United Healthcare Commercial and Medicare Advantage Plan
- Florida Blue PPO (Except BlueSelect) Commercial Plan
- Aetna PPO Commercial Plan
- Aetna Medicare Advantage Plan
- Cigna PPO Commercial Plan
- Freedom Health Medicare Advantage Plan
- Optimum Health Medicare Advantage Plan
- Tricare Standard, Tricare For Life
- BCBS of Michigan Medicare Advantage PPO (Retired School Employees)
**Please call our office at 352-751-6565 for a comprehensive list and eligibility verification.
Note to Patients: If we are considered out-of-network provider under your plan, it is your responsibility to directly contact your insurance carrier to learn more about your out-of-network coverage.