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Patient Information
Cosmetic Procedures Policy
Dr. Judge and the team at Central Florida Dermatology Associates will always develop a customized treatment plan to bring your skin to its optimal level of health. In order to accommodate for our patient’s needs, we ask that half of the procedure costs are paid at the time of scheduling, and the remainder by the day of service or prior to the day of treatment. Missed appointments or cancellations requested less than two business days prior to the schedule time will result in forfeiture of the procedure cost.
If you have any questions prior to your appointment please do not hesitate to contact us so we can address your concerns as soon as possible.
Missed Appointment Fee
If you need to cancel or reschedule an appointment please contact us within 24 hours of your appointment time. If you fail to show up for your scheduled appointment you will be charged a $25 fee.
Insurance Policy
As a courtesy to you, our practice will file all insurance claims. However it is your responsibility to supply our office with the current and correct insurance cards at the time of service for each visit. If you come without the insurance card, full payment is expected at the time of service.
If your insurance company charges a co-pay for your office visit, the co-pay may not cover the procedures performed while in the office. Depending on your plan, procedures such as biopsies, surgeries and wart treatments may be subject to your policy’s deductible.
If you have any questions regarding your plan, please contact your insurance company.
For a full list of insurance companies we accept and do not accept please click here.
Payments We Accept
Central Florida Dermatology Associates requires payment or co-payment at the time of services rendered. We accept:
- Cash
- Check
- Visa
- Discover
- MasterCard
We’re pleased to offer our patients the CareCredit® card, North America's leading patient payment program. The CareCredit card is just as easy to use as a regular credit card, but it’s designed specifically for your health and beauty needs. Best of all, CareCredit offers convenient payment plans and no hidden costs. You can even use your CareCredit card over and over for follow-up appointments.
Apply now or to learn more about CareCredit, please contact us.
Appointments
To schedule an appointment for a consultation or service with Dr. Judge or any of our staff, please call Central Florida Dermatology Associates at (407) 481-2620 or e-mail us at appointments@centralfloridaderm.com with:
- Your Name
- Phone Number
- Reason for Your Visit
Please arrive at least 15 minutes prior to your appointment so that you have enough time to fill out your paperwork. If you arrive after your scheduled appointment you may be asked to reschedule.
Patient Forms
Please complete the following interactive forms before your appointment. This will allow us to serve you better and ensure you will see Dr. Judge or a skin care specialist in a timely manner. If you have any questions about anything on these forms, please call us at (407) 481-2620; our staff will be happy to assist you:
Login – To instantly update/change your information, click on the “Login” button below.
*Note to Established patients that have been seen after August 1, 2011 – you do not need to fill out the “FORMS” section. We have your medical history/information in our new system. However, please inform our medical staff of any changes/additions to your medications, allergies, surgeries, or past medical history since your last visit.
OR
Print - To fill out your information manually, click on the links below.
*Note: Please arrive with your completed paperwork 15 minutes before your appointment time to allow our staff to input the information in our system.
Please note: These documents are in Adobe® PDF format. They require Adobe Reader to be viewed. If you do not have Adobe Reader, you can download it for free by clicking here
If there are any questions please contact Stephanie at sgaski@centralfloridaderm.com or 407-429-6714.
Minor's Policy - Established Patients Only
A minor that is 16 or 17 years of age can be seen by him/herself with a written consent and ID from parent/legal guardian.
A minor under the age of 16 can be seen with another legal adult with a written consent and ID from parent/legal guardian.
The providers have right to refuse treatment at any time should it be a case which the presence of the parent/legal guardian is required.
Please note: This document is in Adobe® PDF format. It requires Adobe Reader to be viewed. If you do not have Adobe Reader, you can download it for free by clicking here.
Medical Records
To maintain confidentiality of our patients, it is our policy not to release any information regarding medical or financial history with anyone without authorization. If you need to request medical records, please complete the following interactive form online:
- Medical Record Release Authorization Form (Printable)
If you have any questions about obtaining medical records from Central Florida Dermatology Associates, please call (407) 481-2620 extension 1511. Our office will contact you within 48 business hours and process the request as soon as we receive your signed authorization form.
Prescription Refills
If you want to have your prescription refilled, you must have been seen by Dr. Kathleen Judge or one of the Physician Assistants within the past 12 months. You can call us at 407-481-2620 ext 1504.
If we receive your request for a prescription refill and you have not been seen within the past 12 months we will contact you to schedule an appointment.
Insurance Information
Central Florida Dermatology Associates gladly accepts several types of insurance. Please review the list of insurance plans we do and do not accept, so you can make necessary payment arrangements:
Insurance Plans We Do Accept
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Insurance Plans We Do Not Accept
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