(607) 257-1107      Visit our YouTube channel!
Ithaca: 2333 N. Triphammer Rd, Ste 203
Cortland: 3773 Luker Road

New Patients

Dermatology Associates of Ithaca is excited to share the opening of a 2nd location in Cortland, NY at 3773 Luker Road to extend our services to you and your patients by offering the best in every facet of care. The new office will be opening in July and we are currently scheduling patients for our new office now, call us today at 607-257-1107!

Appointments: Please call the office to schedule your appointment. If you need to reschedule or cancel your appointment, please call the office at 607-257-1107.

New Patient Welcome Letter: An introduction to our practice with directions to our office, instructions for registration, and policies regarding missed appointments and appointment cancellations.

New Patient Packet Mail/Fax Form | Email Form: For patients emailing the new patient packet, you must obtain a PIN from the office. If you do not have one, please contact to the office at 607-257-1107. Please use the “Email Form” for email submissions, all other submissions should use the Mail/Fax form link. This paperwork must be completed and submitted to the office PRIOR to any new patient appointment.

  • New patients making an appointment within 2 weeks must have their paperwork submitted by the end of the business day (the day in which the appointment is scheduled) or their appointment may be at risk of cancellation and subject to the cancellation fee and being rescheduled.
  • New patients must have their paperwork completed and received by the office 2 weeks prior to their appointment or may be at risk of cancellation and subject to the cancellation fee.

Detailed HIPAA Information MUST be reviewed prior to completing the New Patient Packet

HIPAA Privacy Practices: A detailed explanation of your medically-related privacy rights

Billing Policies: A detailed explanation of our billing policies. While we try to be as informed as possible of our insurance partners, we do not know everything about every insurance plan. It is the responsibility of the patient to check with their insurance company to make sure our office is in network and their visit will be covered.

Medical Records Release PDF | Fillable Form: If you are transferring from another dermatology office please complete this form with your New Patient Packet.
⇒ If you are transferring from Dr. Tangoren’s office, please complete this Medical Records Release PDF | Fillable Form


Patient Checklist

√ New Patient Packet**
√ Medical Records Release if applicable**
√ Reviewed Welcome Letter
√ Reviewed Detailed HIPAA Information
√ Reviewed Billing Policies

We kindly ask that all new patients fill out our new patient paper work in 
order for our staff to prepare for your appointment. Please send completed 
paper work to [email protected] at least 24 hours before your 
appointment.


Please Email to: [email protected]
or Mail to: 2333 N. Triphammer Rd., Suite 203
Ithaca, NY 14850

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