Patient Financial, Payment, Scheduling Office Policy
Please read all practice related financial, payment, scheduling and office related policies. Please note that the most up to date policies will be provided through our electronic medical record patient portal and when you come into our office.
When you call and make an appointment, you will be asked to provide an email address. A working email address is necessary for us to be able to activate the use of our patient portal. Through the portal, you can complete necessary information prior to your appointment and sign all practice related policies. It is very important that you notify us immediately if you do not receive this automated email – consider checking your spam folder or spelling of your email address with us.
The following forms are provided for your review. We reserve the right to make any changes to our operational policies. For the most up to date versions, see the consents uploaded onto the patient portal or the forms provided to you at the time of your visit.
- Authorization for Care to Minor(s)
- Botox® Consent, Hyperhydrosis
- Botox® Consent
- Chemical Peel Consent
- Excision Consent
- FAX Referral Form
- Financial Policy 2020
- HIPAA Authorization To Disclose PHI
- HIPAA Privacy Agreement 2020
- HIPAA Privacy Authorization & Consent 2020
- How to Create and Update Your Patient Portal Account
- Medical Records Release From WD Form
- Photography Consent
- TeleHealth Consent
- WD New Patient Forms