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Dermatology at WingHaven - Robyn Stengel Fanderclai, M.D. and Rachel Qualley, M.D.

Insurance and Payment Information
Your First Appointment
Patient Forms
Privacy Notice

Insurance and Payment Information

Aetna, Blue Cross/Blue Shield, Cigna, United Healthcare, PHCS, and Medicare are accepted. Please call for details.

We provide insurance billing but we encourage all patients to confirm their coverage prior to making an appointment. Co-payments are due at the time of the appointment. If the insurance company does not pay the full balance, or denies the claim, then any unpaid balance is the responsibility of the patient.

Please call us with any questions regarding which insurance plans we accept or other billing concerns. Insurance coverage and benefit questions should be directed to your insurance company.

Your First Appointment

Please bring the following items to the appointment:

New Patient Forms

For your convenience, we encourage you to download the following new patient forms packet. Please print them, complete them, and bring the completed forms with you to your visit.

Download New Patient Forms
[PDF Help]

This new patient packet includes the patient registration form, the medical history form, the financial policy form, and your acknowledgement of receipt of Our Notice of Privacy Practices.

Minor Consent Waiver

Privacy Practices

Our Notice of Privacy Practices describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.


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Dermatology of WingHaven

Winghaven Medical Building
5551 WingHaven Blvd., Suite 210
O'Fallon, MO 63368
Tel: 636.561.4613
Fax: 636.561.4610


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