We Are Accepting New Patients
M.A. Stawiski, MD, Dermatology offers two locations for your convenience – Grand Rapids and Jenison.
We are one of the few dermatologists accepting all insurances and private pay patients.
Notes for Your 1st Appointment
- Make sure to bring a Photo ID and Insurance Card.
- Be prepared with your history and description of your problem when you come to your appointment.
- Please wear comfortable clothing that will allow your provider to easily examine the symptomatic area.
- Bring the medications you are currently using and/or a list of medications you have tried.
- Obtain a referral from your primary care physician prior to your appointment if required by your insurance company.
- If the patient is a minor, a parent or legal guardian must accompany him / her to the initial office visit.
- Please print the form below, fill them out and bring it with you to your appointment
– Thank You!
Forms You’ll Need
Please complete these forms before you arrive on the day of your appointment. This will save time for both you and our staff. Thank you.
Patient Information Form
Please print and complete this form, then present at check-in
Patient History Form
Please print and complete this form, then present at check-in.
Privacy Policy Form
Please review our Privacy Policy, then print and sign this form. Present at check-in.
We Look Forward To Meeting You!
One of the Top Dermatology Offices in Michigan
Over 40 Years of Experience
