OFFICE POLICIES
We want to provide you with the very best and highest level of dermatologic care in a compassionate and professional environment. To do this, we ask for your cooperation in helping make your visit, as well as other patients' visits, a pleasant experience. With that in mind, we have the following office policies to help ensure your visit runs smoothly.
APPOINTMENTS
We see patients on an appointment basis. New patients who have completed their New Patient Registration and History forms should plan to arrive at least 15 minutes before their scheduled visit. If you have not completed your New Patient Registration and History forms and wish to complete them when you arrive, please arrive at least 30 minutes prior to your scheduled appointment. If you are an established patient who has not been seen in a year, please arrive 15 minutes before your appointment time.
You can download the New Patient Registration Packet.
IDENTIFICATION
Each patient or guardian should bring a current driver’s license (or other photo ID) and a current insurance card. This information is necessary for the verification process. If you do not have this information, you will be asked to reschedule your appointment.
AUTOPAY
As part of our financial policy, we use AutoPay. Please note that Medicare, Medicare Advantage (replacement plans), and Tricare are exempt from this policy. At the time of check-in or when scheduling an appointment, we will securely maintain your credit card on file. This card may be used to pay for any patient-responsibility amounts not covered by your health insurance, including co-payments, co-insurance, deductibles, and non-covered services.
After your insurance has processed the claim, you will receive a notification of any remaining balance and the amount to be charged to the credit card on file. The credit card will be charged 10 days after the notification is sent. Individual payments will not exceed $300 per transaction and will be charged every 28 days until the balance is paid in full. If a charge to your card is declined for any reason, you will need to provide a new valid credit, debit, or HSA card within 10 business days. If a new payment method is not provided within this timeframe, a $25 declined card fee may be assessed.
If you choose not to provide a credit card on file, a $100 deposit will be required at the time of service, in addition to any applicable co-pays. This deposit may be refunded after insurance has processed the claim, provided no balance remains.
APPOINTMENT REMINDERS
We have an automated reminder system that calls you a few days prior to your visit and/or texts and/or emails you to confirm your appointment. If you need to reschedule or cancel your appointment, please follow the prompts or call our office at least 48 hours prior to your appointment.
LATE APPOINTMENTS
When patients arrive late for their scheduled appointments, we may fall behind on our schedule, which affects other patients’ visits. Our policy is that if an established patient arrives more than 10 minutes late or if a new patient arrives more than 5 minutes late for their appointment (we ask all new patients to arrive 30 minutes prior to their scheduled appointment), the patient may be asked to reschedule their appointment, depending on the day’s schedule.
NO-SHOWS & LATE CANCELLATIONS
In an effort to improve access to dermatologic care, a No-Show Policy has been implemented. Patients who wish to cancel their appointment must notify the clinic at least 48 hours prior to their scheduled appointment time. Patients who do not show up for their appointment or fail to provide at least 48 hours’ notice to cancel will be charged a $30 no-show fee for mid-level office visits, a $50 fee for MD visits, a $150 fee for excision appointments, and a $250 fee for Mohs surgery appointments. This fee is not covered by insurance and must be paid in full by the patient prior to their next appointment.
For all cosmetic procedures, payment is expected in full at the time of the procedure. A non-refundable deposit of 50% of the service cost is required at the time of booking and will be applied toward the total treatment cost. Cancellations or no-shows within 48 hours of the appointment will incur a fee equal to 50% of the service cost.
CO-PAYS & DEDUCTIBLES
We collect payment at the time of service (co-pays and non-covered services). If your insurance requires a co-payment, it will be collected at the time of your visit. This information should be located on your insurance card, or you can call your insurance carrier to obtain more information. The medical providers at Metrolina Dermatology are considered specialists.
REFERRALS
Some insurance plans require a referral from your primary care provider to see a specialist. Please bring this with you to your appointment; otherwise, you will be rescheduled or will need to pay out of pocket.
MINORS
We require prior permission from the parent or guardian to treat any child under the age of 18 years old. Please make sure you sign the Consent to Treat Minors form to give us permission to treat your child in your absence. We will not be able to see any children without this signed form. An adult must accompany children under 12 years of age at all times.
We appreciate your assistance in preparing for your appointment. We look forward to providing you with the highest quality dermatological care. If you have any questions or concerns regarding the registration process or your appointment, please do not hesitate to contact our office.