NEW PATIENTS

Thank you for choosing Center for Advanced Dermatology, now a part of U.S. Dermatology Partners!
We appreciate the opportunity to care for your health. Please register as a new patient and download our medical history form and questionnaire form to bring in on your first visit. Please note, even if you register online, you will still need to download and bring in a copy of our medical history form and questionnaire form with you to your first visit.

Step #1)

Step #2)

 

Please remember to bring your completed forms to your initial appointment. In addition, please bring a valid photo ID, current insurance card, and a form of payment to your initial appointment. To expedite the check-in process, please arrive 10-15 minutes prior to your scheduled appointment time.

 

Minor Consent

If the patient is a minor (under 18 years of age), the parent or legal guardian must be present at the child’s initial visit to sign the Consent to Treat Minors form. Without a signed consent form, we cannot legally treat a minor child. The form allows you to list other adults who can accompany your child or if your child can arrive unaccompanied to future visits. If you are unable to attend the first visit with your child, you may sign the notary version of the parental consent form. If you are the child’s legal guardian (not a parent), you will need to confirm this by providing legal documentation. This information will be kept in the child’s file.

 

ESTABLISHED PATIENTS

Please bring a valid photo ID, current insurance card, and a form of payment to your appointment. To expedite the check-in process, please arrive 10-15 minutes prior to your scheduled appointment time.

Late Arrivals

We understand that sometimes you may be delayed. However, late arrivals may require rescheduling. U.S. Dermatology Partners reserves the right to charge a fee if the appointment is not canceled at least 24 hours in advance. Special types of appointments require a deposit to reserve the appointment date. U.S. Dermatology Partners reserves the right to charge a fee or retain the deposit if the appointment is not canceled at least 72 hours in advance.

Insurance

We accept most major insurance carriers. Please contact your insurance company prior to scheduling your appointment to verify the specifics of your coverage. Also, it is important to ask your insurance carrier if any referral, pre-authorization, or pre-certification is necessary before you schedule your appointment with us. HMO carriers require preauthorization prior to treatment.

Payment

Payment is due at the time services are rendered. The amount collected is estimated based on benefits information available. Specific policy information is often limited or unavailable until after a claim has been filed. Insurance coverage is not a guarantee of payment. The patient is responsible for any remaining balance not covered by insurance.

Newsletter Signup

Sign up for our newsletter & stay up to date
For Email Newsletters you can trust