To schedule an appointment, please call: (334) 277-3332
Monday – Thursday: 7:30 AM – 5:30PM
Monday – Thursday 7:30 – 5:30
This form can be downloaded and printed at home. By filling out this form ahead of time, you will save a significant amount of time during your visit. Please be prepared to provide this information to our office along with your current insurance information. You will need Adobe® Reader® in order to view the form. If you do not have Adobe® Reader® on your computer, you can download it for free by clicking here or on the Get Adobe Reader icon.
New patients should arrive at least 10 minutes before the scheduled appointment time. This will allow adequate time to complete required paperwork. Any patient who is more than 30 minutes late for their appointment may be asked to reschedule.
Cell Phone Usage
We kindly ask that you do not use your cell phone during your medical visit at our practice. There is no phone call that is more important than your time with your physician.
It is the patient’s responsibility to remember their scheduled appointment. We ask for 24-hour notice when canceling appointments.
Patients that cannot keep their appointments are asked to cancel the appointment so that we may fill your appointment spot. If you fail to cancel appointments on a regular basis you may be subject to dismissal from our practice.
If we are contracted with an insurance plan under which you are covered, we will bill the insurance carrier for you. It is the patient’s responsibility for the remaining balance, including insurance deductibles, co-payments, coinsurances, and charges for non-covered or cosmetic services.
If your insurance requires a referral, it is the patient’s responsibility to have their referral at the time of their visit. If you do not have your referral, then you will need to reschedule your appointment.
Co-pays are due at the time of service. We do not bill for co-pays. If your co-pay is not indicated on your card, you may be required to pay 20% of the total charge for the visit during checkout. If there is a credit after all insurance payments have been received, a refund will be issued to you. All major credit cards are accepted, excluding Discover.
There is a $35.00 processing fee for returned checks.
Herron Dermatology reserves the right to terminate patients from the practice. Reasons for termination may include, may not be limited to: disruptive and abusive behavior to staff, non-payment, failure to follow clinical advice or treatment, refusal to treat skin cancers, and failure to keep follow up appointments.
If you have insurance through a company that we have contracted with, we will bill your insurance company for the visit. We will require a copy of your insurance card and a driver’s license. All co-payments, co-insurances and deductibles are due at the time of visit, no exceptions. You will be responsible for any services denied by your insurance carrier as not medically necessary and/or not covered.
- Blue Cross/Blue Shield*
- Viva Medicare
- Medicare Complete*
- Health Springs
- Railroad Medicare
- First Health
*Some policies require a referral from your insurance carrier. Please contact your insurance provider or primary care provider prior to scheduling your appointment.