Office Policies
Specializing Exclusively in Medical and Surgical Dermatology
•Office visits: New Patients and patients who have not seen Dr. VanLoock within one year must arrive at least 15 minutes before the scheduled appointment time. This will allow for adequate time to complete/update any required paperwork. Any patient who is late for their appointment may be asked to reschedule.
•Cancellation policy: As a courtesy, the office attempts to remind patients of their appointment ahead of time, but ultimately, it is the patient’s responsibility to remember their scheduled appointment. We require 24-hours notice when cancelling appointments. Failure to do so will result in a $25 fee for standard appointments and a $50 fee for procedure appointments.
• It is the patient’s responsibility to ensure that any required referrals are current BEFORE the scheduled appointment time.
• All charges for services rendered in this office are ultimately the patient’s responsibility.
• Co-Payments:  Co-pays must be paid at the time of check-in.  If your co-pay is not indicated on the insurance card, you may be asked to pay 20% of the total charge for the visit during check-out. Cash, checks, and all major credit/debit cards are accepted.
• If we participate (are contracted) with an insurance plan under which you are covered, we will bill the insurance carrier for you. You will be responsible for any remaining balance, including annual deductibles, co-payments, coinsurances, and charges for non-covered or cosmetic services.
• Insurance rebilling charge: Patients must provide our office with correct and current insurance information.  If an insurance claim requires a second submission because of incorrect or outdated insurance policy information, there may be an additional $25.00 charge that is billed directly to the patient. If the correct insurance information is not obtained before the insurance company’s filing deadline, then the patient will be responsible for the entire cost of the visit.
• Refill policy: Patients are given enough medication to last until their next visit. A follow-up visit may be required for prescriptions that are over a year old. Depending on the situation, a one-time refill may be granted to allow time for a follow up visit to be made.
• There is a $30.00 processing fee for returned checks.
• Late Payment Fee: A $35.00 late fee will be added to all accounts that are more than 90 days delinquent.
• Mobile Dermatology, PC reserves that right to terminate patients from the practice. Reasons for termination may include, but are not limited to, disruptive and abusive behavior, non-payment, failure to follow clinical advice or treatment, and failure to keep follow up appointments.
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