COVID-19 / CORONAVIRUS AND SEASONAL FLU ADVISORY
If you are currently scheduled for an appointment with us, and experiencing flu-like symptoms, have had a fever in the past 24 hours, or if you believe you have been exposed to anyone with Covid-19 in the past 3 weeks, as a courtesy to our staff and fellow patients, we ask that you reschedule your appointment.
Please inform our Front Office Team. You will receive top priority when we work with you on rescheduling your appointment, following your full recovery.
DO NOT SCHEDULE or come in for your appointment if you experience any of the following symptoms:
- Shortness of Breath
- Coughing and/or Sneezing
- Sore Throat
- Nasal Congestion
- Body Aches
- Loss of Taste or Smell
- You just don’t feel well
FORMS & INFORMATION FOR YOUR COSMETIC VISIT
- NEW PATIENTS: Please print, fill out, and email or mail the New Patient Forms for your first visit to our office. Please download the forms below.
- You may EMAIL these forms to: firstname.lastname@example.org.
- You may MAIL these forms to: PIMA DERMATOLOGY / 515O E. Glenn St. / Tucson, AZ 85712
- RETURNING PATIENTS: You may also use these forms to update your information.
- Please arrive 15 – 20 minutes early for your paperwork to be processed and to keep your appointment running on time.
- Please arrive alone (unless you need an escort) to reduce the number of people in the office.
- Please bring your Photo ID and Insurance Card.
- Please wear a facial covering (mask, bandana, scarf, etc.).
IMPORTANT ADDITIONAL INSTRUCTIONS FOR YOUR VISIT: READ HERE
PREPARE FOR YOUR VISIT
If applicable, download your Pre & Post Treatment Instructions (Please note: Not all visits require Pre & Post Treatment Care):
NEW PATIENT FORMS
If the patient is under 18 years of age, please download and complete this form:
Understanding our commitment to you and your financial responsibility to us is an essential component to establishing and maintaining a strong patient/practice relationship. In order to achieve this, we offer the following information regarding our office policies: click here.
- If you are a self-pay patient, your insurance company is not contracted with us, or you are receiving elective or cosmetic services, please be aware that payment is due at the time of service.
- Some cosmetic services require prepayment (i.e. Botox treatments, dermal fillers, laser skin resurfacing, etc.).
- As a courtesy to our patients, we file medical claims with most insurance companies. However, the involvement of the insurance companies makes the billing process extra complicated. If you have any questions regarding your billing statements, please let us know so that we can help you. Our business office can be reached at 520.396.1860.
FORMS OF PAYMENT ACCEPTED:
Debit Cards (with a Visa logo)
Visa, Mastercard, American Express, & Discover
CareCredit – Pay Online Here
GreenSky – Check Your Rate Here
NO SHOW OR CANCELLATIONS:
- As a courtesy, we will attempt to contact you prior to your visit via phone and/or email to confirm your appointment.
- If you need to reschedule or cancel your appointment, please call our office at 520.795.7729 at least 48 hours in advance.
- If you miss an appointment or cancel an appointment without a 48 hour notice, you may incur a charge of $40.00 or more, depending on the type of service scheduled. A scheduled Mohs surgery that is not cancelled 72 business hours prior will be subject to a $100.00 no-show fee. Cosmetic and Laser procedures require a minimum of a 48 hour notice to cancel or reschedule; failure to do so may result in the deposit being forfeited.
Section 1557 Nondiscrimination Statement
Pima Dermatology, PC complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Pima Dermatology, PC does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. To learn more, please click here.
Patient Bill of Rights and Responsibilities
Patients have the right to considerate and respectful care. To read our Patient Bill of Rights and Responsibilities, please click here.
HIPAA Notice of Privacy Practices
This Notice of Privacy Practices describes how we, our Business Associates and their subcontractors, may use and disclose your protected health information (PHI) to carry out treatment, payment or health care operations (TPO) and for other purposes that are permitted or required by law. To read the Notice of Privacy Practices in full, please click here.