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Office Policies and Paperwork

What do I need to bring with me to my appointments at Massachusetts Dermatology Associates?

  • Valid photo ID
  • Insurance card
  • Credit card for copay (required at the time of service)
  • Referral from your primary care provider if your insurance requires a specialist referral (if not already sent by your primary care office)
  • List of your current medications

When should I complete my registration paperwork?

Please arrive at least 15 minutes prior to your appointment time to fill out necessary forms.

Do I need a referral?

Most HMOs and other insurance companies require a referral.   If you are unsure, check with your insurance company. Please have this faxed to 978-560-1245 prior to your appointment.

What if I am running late for my appointment?

We will try our best to accommodate you, but if you arrive 15 minutes or more after your scheduled visit time, we reserve the right to reschedule your appointment.   If you are running late, please call to let the front desk staff know.

Are there penalties for late cancellations or missing appointments?

If you are unable to keep an appointment, we ask that you kindly provide us with a minimum of 24 hour notice. This courtesy on your part will make it possible to give your appointment to another patient who needs it. In the event that you are unable to give us such notice you will incur a no-show or last minute cancellation fee of $25 for general dermatology appointments and a fee of $50 for any surgical, cosmetic, or aesthetics appointments.

Where can I learn about additional policies at Massachusetts Dermatology Associates?

See Downloads below to obtain more information

Useful Downloads

Registration Paperwork:

New Patient Welcome Letter: An introduction to our practice with directions to our office and policies regarding missed appointments and appointment cancellations

Receipt of Notice of Privacy Practices: A consent form that (1) acknowledges your receipt of our HIPPA ‘Notice of Privacy Practices’ (see below), (2) authorizes staff at MassDerm to take photographs that relate to your care, and (3) allows MassDerm staff to share your medical information with designated entities

Financial Policies: An outline of MassDerm financial policies

HIPPA Privacy Notice: A detailed explanation of your medically-related privacy rights

Procedural Information / Consent Forms:

BLU-U Photodynamic Therapy (PDT): Procedural information and consent for patients undergoing photodynamic therapy (PDT).   This needs to be read and signed before undergoing treatment.

Narrowband Ultraviolet B Phototherapy (NBUVB):   Procedural information and consent for patients undergoing narrowband UVB phototherapy treatment.   This needs to be read and signed before undergoing treatment.

Patch Testing: Procedural information and consent for patients undergoing patch testing.   This needs to be read and signed before undergoing treatment.

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