Preparing for your first visit

Prior to your scheduled visit, we kindly ask you to download and complete the medical questionnaire. The information you provide will help Dr. Lee properly assess your condition(s) and develop an action plan for management and treatment as it fits with your other medical problems, medications, and general approach to health. The questionnaire will also serve to lay the foundation of a detailed health history, which she will review with you during your first visit. We also encourage you to bring copies of any pertinent medical records such as lab work, pathology reports or clinical notes for Dr. Lee’s review during your first visit. We assure you that the information in this questionnaire will be kept strictly confidential and will not be released without your written permission.  


            New patient medical questionnaire (pdf)



            Driving directions and parking (pdf)

On the day of your visit

During your initial consultation Dr. Lee will perform a comprehensive review as indicated by the complexity of your symptoms. She will review your completed medical history form, perform a complete head to toe skin exam, including nails and hair.  You may require additional laboratory testing or further study of your lesions under the microscope.  

Please remember to bring with you

  • Your completed health history questionnaire.

  • A valid government issued photo ID

  • Your insurance card

  • Any pertinent medical records such as lab, pathology reports or clinical notes, etc. 


Our practice bills all major insurance plans including: Medicare, Blue Cross, Cigna, Universal Healthcare, BlueCare, Tricare, Signature Network, and HealthNet. Please note that Dr. Lee is NOT contracted with all insurance companies. Please feel free to call our billing services if you have any questions, 818-907-7864 and ask for Sharon or her associates.


Your appointment time is reserved solely for you. We kindly request if you are unable to keep your appointment, please call to cancel at least 24 hours in advance out of courtesy of others who are waiting for an earlier appointment slot.

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Contact Us

2121 Santa Monica Blvd.

(Garden Level)

Santa Monica, CA 90404

Tel: 310-449-5265

Fax: 310-449-5273

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© 2020 by Delphine J. Lee MD PhD Inc. All rights reserved.

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