Patient Info Dr Levy Widget Image

We want your experience at Levy Dermatology to be as pleasant and stress-free as possible. Knowing what to expect and being prepared will help achieve that sense of calm and well-being.

Having necessary information available during your visit helps your physician and staff provide you with the best possible care and service.

Please read the following information carefully, and call us at 901.624.3333 if you have any questions before your appointment.

We look forward to seeing you.


To schedule your appointment please call 901.624.3333. You will need the following information when you call:

  1. Insurance Card
  2. The name of your Primary Physician
  3. The name of the Referring Physician, if applicable


Your first visit to Levy Dermatology involves a few special steps so that we can get to know you.

For a seamless welcome to our practice, please read through this website.

Go to the Contact tab for all the practical information you need, such as a map and directions to our office, practice hours, payment policies, and more.

We recommend you save time by printing out and completing your patient forms in advance of your appointment. Click the buttons below to access the forms.


HIPPA Acknowledgment
New Patient Registration
Patient Medical History


HIPAA Acknowledgement
New Patient Registration
Patient Medical History

Click here for a copy of our Privacy Practices.


We will call to confirm your appointment two days prior. If we cannot reach you, we leave a message. Please call back to confirm your scheduled appointment at 901.624.3333.


What to bring for your appointment:

  • Insurance card
  • Patient Information and Health History Forms
  • Physician referral – If you have a referral prior to your appointment, please bring your referral form. Appointments regarding cosmetic and aesthetic concerns cannot generally be billed to insurance and referrals are not necessary.
  • Payment* for your co-pay, if your insurance plan requires one.

*Note: We gladly accept cash, all major credit cards, and debit cards. We do not accept personal checks.

If you are a new patient, please arrive 15 minutes before your first visit to fill out any paperwork.


We take most of the major insurance plans at Levy Dermatology, P.C. Please remember that insurance is considered a method of reimbursing the patient for fees paid to Levy Dermatology, P.C. and is not substitute for payment. As a courtesy to our patients, we will verify your insurance benefits for you and, if possible, notify you of those benefits prior to or at the time of your visit. Many insurance policies have co-pays, co-insurance payments, and deductibles. Some companies pay fixed allowances for certain procedures and others pay a percentage of the charges. In order to control the cost of billings, we request that any amount owed from your visit be paid on the day of service. Please double check with your insurance company to verify your benefits prior to your visit.

Prior to your medical appointment please have your referral information sent to our office.

Cosmetic treatments are an out-of-pocket expense not covered by insurance, and they may require a prior consultation with the physician. The consultation will incur a nominal fee. This fee will be applied to the cost of the treatment as long as it is performed within one year of your consultation.


Out of respect for other patients and our doctors’ time, kindly give us the courtesy of canceling prior to 24 of your appointment. Failure to do so will incur a $35 cancellation/no-show fee to your account for a medical or surgical appointment and $80 for any cosmetic treatment (due to the larger time allotted for these procedures). We appreciate your understanding and cooperation with this policy.

If you have any questions concerning Insurance and Billing, please call 901.624.3333 to speak with a member of our billing staff.