Welcome to Bluegrass Dermatology.  In order to help improve the quality of your experience at practice, new patients can download our Patient Contact and Authorization form and the Patient Medical Information form and fill them out before coming in for their appointment.  We require both forms to be completed and sent to our office via mail so that our front office staff can enter the information into our system prior to the patient’s visit.  This will help decrease your wait time when you arrive at our office. 

You may, alternatively, apply online. When you complete the online application, a page will appear with a confirmation code. For security reasons, you must have this code to check the status of your application online. If you choose to print out the confirmation code, make sure to keep it in a safe place.

Please note that Bluegrass Dermatology asks that all of our patients give us 24 hour notice for all cancelled or rescheduled appointments.  A $25 charge will be applied if appropriate notice is not given.

Online New Patient Application

The online registration forms can take up to 24 hours to process in our system, if your appointment is within 24 hours please print the registration information & arrive 30 mins prior to your appointment time with your completed information.

Apply Online! Check the status of your online application

New Patient Registration Packet

Print Patient Contact and Medical Information Form


Location information:
3475 Richmond Rd. Suite 200
Lexington, KY 40509
Fax (859)296-4300
Toll free no. 1-888-394-DERM (3376)


We at Bluegrass Dermatology want to thank you for choosing us as your medical provider. We appreciate the confidence you have placed in us and look forward to caring for you. Please take a moment to familiarize yourself with our office location. It is best to come 15 minutes early for your New Patient appointment so we can make sure all of your paperwork has been submitted correctly. Thank you for your cooperation.

Bluegrass Dermatology participates with the following insurance providers…

  • Aetna
  • Anthem/BlueCross BlueShield
  • Medicare
  • UK HMO
  • CHA Health