Thank you for choosing Dermatology Associates of Montgomery for your skin needs. Please fill out the downloadable forms and bring them to your first appointment. If you have any questions, please call 334.396.1555.
Helpful Tips for your Complete Skin Exam
To help you make the most of your dermatology appointment, here are a few tips on how to prepare for and what to expect during a routine full-body skin examination.
Before the Exam
Take a look at your skin. Make note of any new, changing, itching or bleeding moles, growths or other lesions. Remove all nail polish from fingernails and toenails. We need to look at your nails and nail beds, since skin cancers can form there. Also, it is important to remove all makeup. Makeup can hide small skin cancers and prevent early detection. Since we closely examine the scalp, please remove any wigs or hairpieces.
At the Exam
You will be asked to disrobe for the examination. The exam itself will likely be brief, but the more moles you have, the longer the exam. We will closely examine any moles or growths you noted during your skin exam. We may biopsy any suspicious-looking growths. If you have never evaluated your skin, we will explain how to do so and what to look for. It is important not to overlook certain areas like the scalp, between the toes, and the soles of the feet.
Patient Registration Form
Medical History Form
Authorization to Release Medical Information to Dermatology Associates
Authorization to Release Medical Information from Dermatology Associates
Foreign Language Assistance Form
Office visits are by appointment. Due to a full schedule, it is not possible to see drop-in patients. Return appointments normally will be made as you are leaving the office.
If you have any questions regarding scheduling, do not hesitate to ask the receptionist at 334-396-1555.
Please inform us 24 hours in advance if you cannot keep your appointment, so that time can be given to another patient. Occasionally it may be necessary to reschedule a visit, and every attempt will be made to do so at your convenience. There will be a $30.00 fee for missed appointments unless cancelled 24 hours in advance. If the appointment is surgical or procedural, the fee is $100.00.
Charges are payable at the time of service, including all co-payments and amounts covered by private insurance. If a lesion is removed, a specimen will be sent to a pathologist; in that case, the pathology laboratory will bill additional charges. Assignment on insurance is accepted from Medicare, Blue Cross/Blue Shield of Alabama and its affiliated plans, Humana Gold, Viva, Viva Medicare, United Healthcare, and Aetna.
If there are questions regarding financial policies or a particular account, please address them to the office manager or insurance clerk at 334.396.8774.
Managed Care Plans:
This office is currently affiliated with PMD, Viva, United Healthcare, and Aetna. If you are a member, inform us upon checking in and present your identification card to the receptionist so that we may verify your coverage. Co-pays are due on the day of your visit.
As participating providers in the Medicare program, we file your claims. You are responsible for the full deductible. If you have met your deductible, we will be reimbursed 80 percent of the Medicare allowable charge. Therefore, when services are rendered, you are asked to pay 20 percent of the allowable charge. If you have supplemental insurance for the 20 percent, we will file for you.
Assignment on Champus claims is not accepted and payment is expected in full at the time of service. However claims will be filed for Champus patients, so that Champus can reimburse the patient.
Dermatology Associates of Montgomery complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
If you speak a language other than English, language assistance services, free of charge, are available to you. Call 334-396-8774.