Patient Information

COVERED INSURANCES

We are currently a provider for the following plans:
• Blue Cross Blue Shield of Florida PPO
• Blue Cross Blue Options
United Healthcare PPO
Tricare
Medicare Part B
AARP
Please call us at any time for additional questions.
BILLING POLICY:

For your convenience we accept Visa, MasterCard, Personal Check and Cash. We deliver the finest care at the most reasonable cost to our patients, therefore payment is due at the time service. If you have questions regarding your account, please contact us at 352-332-4051.

Please remember you are fully responsible for all fees charged by this office regardless of your insurance coverage.

We will send you a monthly statement. Most insurance companies will respond within four to six weeks. Please call our office if your statement does not reflect your insurance payment within that time frame. Any remaining balance after your insurance has paid is your responsibility. Your prompt remittance is appreciated.

Patients who fail to show for an appointment or do not cancel at least 24 hours prior to the appointment time will be charged  $35. If you are unable to keep your appointment, please contact us so that the appointment can be offered to other patients. 

BILLING POLICY:

For your convenience we accept Visa, MasterCard, Personal Check and Cash. We deliver the finest care at the most reasonable cost to our patients, therefore payment is due at the time service. If you have questions regarding your account, please contact us at 352-332-4051.

Please remember you are fully responsible for all fees charged by this office regardless of your insurance coverage.

We will send you a monthly statement. Most insurance companies will respond within four to six weeks. Please call our office if your statement does not reflect your insurance payment within that time frame. Any remaining balance after your insurance has paid is your responsibility. Your prompt remittance is appreciated.

Patients who fail to show for an appointment or do not cancel at least 24 hours prior to the appointment time will be charged  $25. If you are unable to keep your appointment, please contact us so that the appointment can be offered to other patients. 

PATIENT FORMS

 PATIENT INFORMATION FORMS Please complete your new patient demographic and health information forms prior to your appointment. Click on the Patient Information Forms link and print out the forms, fill them out and bring them with you to your appointment.

If you would like to have your medical records transferred to Dermatology Associates, please complete the
TRANSFER IN FORM and give the completed form to your previous physician. If you would like to have your Dermatology Associates records transferred to another practice, please complete this TRANSFER OUT FORM and fax, email or bring in to the office to have your records released.

*Please note that you should bring your PHOTO ID, INSURANCE CARDS AND A COMPLETE LIST OF YOUR MEDICATIONS to your  appointment.