No Show/Late Policy
In the event you are unable to attend your appointment, we request that you cancel your appointment at least forty-eight (48) hours prior to your scheduled appointment. Please call 704-784-5901, option 6, at any time to notify us of the cancellation.
Patients who fail to show for their appointment without providing at least twenty-four (24) hours’ notice, will be considered a no-show. After a patient’s third no-show, he/she could be subject to dismissal from the practice.
When we receive the email requesting payment to be processed, our office will only do as requested. Such addresses are not used for any other purposes and will not be shared with any outside parties. If any contact needs to be made after payment is submitted, our office will contact you back by phone only. Our office will only mail a confirmation back if requested by the patient at the time of payment. The only information being shared via online payment is Account Number, Account Name, Date of Service, Amount to be Paid, Credit Number, Credit Card Type, and CVV Number.
Notice of Privacy Practices
The Dermatology Group of the Carolinas participates with most major insurance plans. Before making an appointment, please contact your insurance company directly to determine if you are covered for our services. If we are contracted with your insurance, we collect any co-pay, coinsurance and/or deductible at the time of service. If we are not contracted with your insurance, we will collect in full at the time of service. As a courtesy, we will file the claim for you and your insurance company will reimburse you directly. We accept Visa, MasterCard, Discover, American Express, personal checks and cash. We realize that payment and insurance issues can be confusing, so please feel free to ask any questions you may have regarding this matter.
Online Payment Policy
We accept major credit cards including Visa, MC, American Express, and Discover with our online payment system. If you would like to pay by check or cash, please call or come by the office. All currencies are in US Dollars. Online payments are secure and not shared with any outside parties.
Refund Policy for Online Payments
Our goal at Dermatology Group of the Carolinas is to serve your health care needs. We appreciate the trust you have placed in us, and we are committed to using protected health information about you responsibly. We understand that there may be reasons that a refund is requested. We ask that you call our office if you need to discuss a refund pertaining to an online payment that has been submitted.
We accept requests for prescription refills Monday-Thursday between 7:20 a.m. to 4:30 p.m., and Friday 7:20 a.m. to 1:00 p.m. We try to process all requests within 24 hours, but please allow two business days for refill requests to be processed. When you call for a refill, please press “option 2 (two)” on your touch-tone phone and be prepared to provide the patient name, patient phone number, prescription name, pharmacy name, and pharmacy phone number. Please note that it is our policy to require an office visit with one of our physicians within the past 12 months in order to receive a prescription refill. If necessary, we will be happy to schedule you an appointment.
New Patient Paperwork
New Patient Paperwork
Minor Consent to Treat
Minor Consent Form
All minors MUST be accompanied by their Parent and/or Legal Guardian on their first visit to our office. The Legal Guardian must give consent and authorize treatments. They must also give consent to use and disclose the Minor’s health information for treatment, payment and health care operations; as well as, agree to pay all charges for any treatments or diagnostic procedures performed by Dermatology Group of the Carolinas. If the minor may be accompanied by someone other than his/her Legal Guardian in the future, then these individuals must be listed as approved and given permission to authorize treatment on those dates of service. All of these consents and authorizations can be found on our Minor Consent Form, and MUST be signed by a Parent and/or Legal Guardian.
Nondiscrimination and Accessibility Notice
Proficiency of Language Notice
Special Needs Patients (assisted living, nursing home, transportation)
Large populations of our patients are disabled and/or elderly, and live in various types of assisted living establishments. These patients must be accompanied by the family member, P.O.A., or responsible party legally designated to authorize treatment and give consent to use and disclose the patient’s health information for any treatments, payment and health care operations. With this understanding, it will not be acceptable for the facility and/or transportation service to drop the patient off to wait for a family member alone in our waiting room.
Dermatology Group of the Carolinas understands that patients often require a transportation service to bring them to and from their appointments. We will be more than willing to assist any ambulatory patients in contacting the transportation service at the conclusion of each appointment. However, if the patient arrives in a wheelchair, it is our policy that the patient be accompanied at ALL times by a responsible party other than our staff. The patient’s companion should be capable of meeting any personal needs the patient may have while in our office.
No Surprise Act
Under the No Surprises Act, you are entitled to an estimate of your medical bill by your provider if you are currently not insured or are opting not to use insurance.
A Good Faith Estimate is for the total expected cost of any non-emergency items or services that will provided to you. You may dispute your post-care bill if the cost is at least $400 more than your Good Faith Estimate.
For questions or more information about your right to a Good Faith Estimate, please visit www.cms.gov/nosurprises or call 1-877-696-6775.
COVID-19 Office Policies
We are screening all our patients before and at the front desk on the day of your appointment for COVID-19 symptoms, testing, and exposures.
We ask that you reschedule if you have experienced any of the following symptoms in the 48 hours prior to your appointment: fever or chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting, or diarrhea. We will also ask you to reschedule if you have been exposed to, diagnosed with or tested for COVID-19 in the previous 10 days.
We ask that all patients over the age of 2 wear a mask that loops or ties over the ears that properly covers the nose and mouth throughout the duration of your visit. If the physician needs to examine your lower face or perform a procedure, he or she may ask you to briefly remove your mask.
All of our staff will also be wearing a mask at all times to protect you.
We ask are now allowing one visitor to accompany you to your appointment.
Please call our office in advance of your appointment at 704-784-5901 to discuss any questions or concerns regarding visitors with our team.