(352) 350-5230

Patient Forms

Please be sure to bring your insurance card(s) and a valid picture ID that has your current mailing address with you to your first visit. If you forget to bring these items you will be asked to reschedule.

Click the links below to Open, then save "New Patient Information" forms and fill out prior to coming in for your first visit to MacInnis Dermatology.  The documents are in Adobe® PDF format. They require Adobe Reader to be viewed. If you do not have Adobe Reader, you can download it for free by clicking here.

How to Perform a Self Skin Exam

Patient Info

Prescription Refill and Lab Requests

Please log into the patient portal to request a prescription refill or communicate a message to one of the staff members. You may contact the office via phone to request refills, however the patient portal will provide a quicker response time.  Do not send an e-mail request.

Patient Resources

Click the image below for complete instructions to perform your skin self exam step by step.


If you have one or more of the ABCDE make an appointment with your dermatologist immediately

A – Asymmetrical: irregular in shape
B – Border: the border of the spot is irregular and not smooth
C – Color: it is not one even color, there is more than one color in the spot (blue, black, brown, tan, etc)
D – Diameter: if it is larger than an eraser head, 6mm
E – Evolution: if the spot has changed over time, and knowing what is normal for you and your moles or spots

Mt Dora...Leesburg...The Villages 

Central Florida

Insurance Plans We Take

  • ​Currently we do not participate with the Medicaid insurance.  Sorry for the inconvenience.
  • We are more than happy to see any patients that do not have insurance coverage.
  • If your insurance is not listed below, please contact our office.
  • AARP
  • Aetna
  • Avmed
  • BCBS
  • ChampVA
  • Cigna
  • GHI
  • Golden Rule
  • Humana
  • Medica
  • Medical Mutual
  • Medicare
  • Railroad Medicare
  • Secure Horizons
  • Tricare
  • UMR
  • United Health Care