Please call our office at 585-383-4420 Monday through Friday to schedule an appointment. If you need to cancel your appointment, please call us at least 48 hours in advance as someone else may greatly appreciate being seen in your place.

After hours urgent calls

For a true medical emergency please call 911. For other urgent questions or issues, our answering service will contact the physician on call when our office number is called day or night.

Medication Refills

It is our policy to see patients at least once yearly for ongoing prescriptions to be refilled. Depending on your condition and/or medication, it may be necessary for you to be seen more frequently than once a year to have an ongoing prescription refilled.


Your insurance company may require that you first have a referral from your primary physician in order to be seen by our practice. Please be sure that this is done PRIOR to your visit. If this is not done, we are required to have you sign a waiver (see WAIVER below). We apologize for any inconvenience that this may cause.


A waiver is a statement which says that you understand the services in our office may not be covered by your insurance and that you would be responsible for the charges. This may be necessary in several circumstances: if a referral is required by your insurance company and none has been made; if you did not bring your insurance card; for cosmetic and other procedures not covered by your insurance.

Payment Policy

Our office participates with most major insurers with the exception of Medicaid. Please bring your insurance card with you at the time of your visit. We will also ask for a picture ID in compliance with federal regulations.

We ask that you take care of co-pays at the time of your visit. Please check the co-pay requirements of your insurance before you come. We accept the following: cash, check, Visa, Mastercard, Discover. Our office is willing to assist you with any problems that may arise and can work out a payment plan with you if necessary.


It may be necessary for the physician to send a sample of your skin for microscopic analysis. We use Muhlbauer Dermatopathology Labs in Pittsford. The skilled pathologists in this laboratory are medical doctors who are board certified in the preparation, examination and interpretation of skin biopsies. Their fees are totally separate from those of our practice and they will bill insurance companies themselves.