New Patient Information

What To Expect

Your first visit to Cleaver Dermatology is a vital part of our relationship with you. During the first visit, we make sure to obtain important information, such as your medical history. This visit also allows you time to get to know your doctor.

Please arrive 15 minutes prior to your appointment to give adequate time for check-in and to complete new patient paperwork. If you prefer, you can save time by printing, reviewing, and signing our New Patient Paperwork . Also feel free to take the time to read our Notice of Privacy Practices .

Occasionally it will be necessary for us to get a copy of your medical records to continue your care and have the best possible information available. Please download the Authorization for Disclosure of Medical Record Information form to assist in this matter.

What to bring?

  1. Valid driver’s license
  2. Current insurance card
  3. Current Presciption Card
  4. Method of payment for your co-pay
  5. Complete list of your current medications
  6. Completed new patient forms

Below you will find all the practical information you need, such as a map and directions to our office, practice hours, payment policies and more. You can even save some time at your first visit by printing out and completing the patient forms in advance of your appointment.

Patient Forms

If the patient is self-pay or has any other insurance other than Medicare and is not a minor, please fill out these secure online forms for your first appointment by clicking the link below.

*Occasionally it will be necessary for us to get a copy of your medical records to continue your care and have the best possible information available. Please download the form to assist in this matter.

Comfort and convenience are the hallmarks of our office's operations. To ensure your convenience, below you will find information about our hours, locations, appointment scheduling, insurance acceptance and billing.To schedule an appointment at one of our clinics call 660-627-7546 .

Kirksville Cleaver Dermatology
1316 Country Club Drive
Kirksville, MO 63501
(660) 627-7546

Fax Number: (660) 956-7097

Toll-Free Number: (855) 830-7546
Our Spa Office: (660) 956-7065


We have made requesting an appointment a simple an convenient process. You may call us at 660-627-SKIN or use the website Appointment Request feature. 

If you are unable to keep a scheduled appointment or if you will be delayed, please let us know as soon as possible.

Insurance & Billing

Cleaver Dermatology accepts a wide variety of insurance plans. To see if we participate with your insurance carrier, please call our office at (660) 627-7546 or Contact Us via email.

Paying for your health expenses on your own can add up quickly, which is why Cleaver Dermatology offers reasonable pricing options for patients who are uninsured or prefer to be self-pay. For specific pricing details, please call our office at (660) 627-7546 or Contact Us via email.

Please contact the Member Services phone number on the back of your insurance care to verify that Cleaver Dermatology is a provider within your plan's network. If we are out of network for your insurance, you will be financially responsible for the balance.

We are not providers with:

  • Iowa Medicaid (Amerigroup, AmeriHealth, and UHC Plan of the River Valley)
  • Medicare Advantage
  • HMO Plans

Payment Methods Accepted:

  • Credit/Debit Cards- We Accept
  • Checks
  • Cash

Contact Us

If you would like to call us directly our phone number is +1 (660) 627-7546 or you can use the form below.


Please do not submit any Protected Health Information (PHI).


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