{"id":127,"date":"2020-08-08T19:49:37","date_gmt":"2020-08-08T19:49:37","guid":{"rendered":"http:\/\/susongderm.com\/newsite\/?page_id=127"},"modified":"2022-07-20T23:27:21","modified_gmt":"2022-07-20T23:27:21","slug":"patient-information","status":"publish","type":"page","link":"https:\/\/susongderm.com\/patient-information\/","title":{"rendered":"Patient Information"},"content":{"rendered":"\t\t
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Patient Information<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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INFORMATION FOR YOU<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Your First Visit<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Susong Dermatology is Chattanooga\u2019s premier dermatology specialists. Since Dr. C. Rodney Susong founded the practice in 1985, we have been privileged to care for hundreds of thousands of patients in the Chattanooga area. Whether you have a wart or a melanoma, acne or psoriasis, our goal is to provide the highest quality dermatologic care in a comprehensive, compassionate, and professional manner.<\/p>

Susong Dermatology provides comprehensive dermatologic care for patients of all ages across the Tennessee Valley. Our team of dedicated physicians, nurse practitioners, and physician assistants can care for your entire family. We offer medical dermatology, pediatric dermatology, dermatologic oncology including surgical dermatology.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\"Chattanooga\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Online Forms<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Thank you for choosing Susong Dermatology! Our clinicians and staff are committed to providing you with the best dermatology care.<\/p>

In order to make your first visit as pleasurable and efficient as possible, please complete our new patient forms and questionnaires prior to your scheduled visit. You may complete these forms by:<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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\n\t\t\t\t\t\n\t\t\t\t\t\tCompleting our secure online forms\t\t\t\t\t<\/span>\n\t\t\t\t<\/h3>\n\t\t\t\t\t\t\t\t\t

\n\t\t\t\t\t\tYou can use our secure online Patient Registration Form, Health Information Form, and History & Intake Form. You will be also asked to sign our Authorization and Privacy Sheet and One Time Authorization Form\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t

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\n\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\tSecure Online Forms<\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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\n\t\t\t\t\t\n\t\t\t\t\t\tUsing our secure online patient portal\t\t\t\t\t<\/span>\n\t\t\t\t<\/h3>\n\t\t\t\t\t\t\t\t\t

\n\t\t\t\t\t\tPatient\u2019s electing to self-register using our secure online portal can send an email to info@susongderm.com\nand request an invitation to our portal. An invitation will be sent to the email address provided with\ninstructions and a link to begin the registration process. You will have 72 hours to log into our patient portal\nonce the link has been submitted.\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t

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\n\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\tEmail: Info@susongderm.com<\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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\n\t\t\t\t\t\n\t\t\t\t\t\tDownload and Print new patient forms\t\t\t\t\t<\/span>\n\t\t\t\t<\/h3>\n\t\t\t\t\t\t\t\t\t

\n\t\t\t\t\t\tPlease print and complete the New Patient Forms under the Forms Tab and bring, fax, or mail your completed\nforms. \t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t

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\n\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\tDownload and Print Forms<\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Helpful Tips and Reminders<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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**Please arrive 30 minutes prior to your initial visit so that you may be properly registered and acquainted with our facility and staff.<\/em><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Treatment of Minors<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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All patients under the age of 18 years of age must be accompanied by a parent or guardian at the first visit. If the minor is coming with someone other than a parent or legal guardian, a Minor Consent form must be completed and signed by the parent or legal guardian in order to seen.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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What To Bring On Your First Visit<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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  1. Copies of your completed new patient forms (if you did not complete our online new patient forms or register through our patient portal)<\/li>
  2. Insurance card(s)<\/li>
  3. List of current medications<\/li>
  4. Any pertinent medical records<\/li><\/ol>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    Medical Release Forms<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    If you would like to request a copy of your medical records, please visit our online Medical Release Form. You may also download this form to print.<\/p>

    Please allow 7 business days for us to release your records.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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    \n\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\tOnline Medical Records Release Form<\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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    \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\"Chattanooga\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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    Insurance and Payments<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    Please remember you are fully responsible for all fees charged by this office regardless of your insurance coverage. <\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    At Susong Dermatology, we make every effort to provide you with the best care possible and the most convenient financial options. To accomplish this, we accept medicare, most major insurance plans and credit card payments. Please contact our office to see if we accept your insurance plan.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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    Because your health insurance is a contract between you and your insurance company, benefits received are based on the terms and limitations of your insurance plan. We will be happy to file a claim form with eligible insurance carriers in order to achieve reimbursement for you, but please remember that you are responsible for all co-pays, co-insurance, deductibles, and non-covered services. We encourage you to read your insurance company policy and know the coverage or limitations of your medical insurance plan. Some Managed Care benefit plans require a specialist referral or prior authorization. It is your responsibility to see that a referral is obtained prior to every visit. If we do not have a referral, you will be responsible for full payment on the day of service.<\/p>

    For your convenience, we accept Visa, MasterCard, Discover, and American Express. Subject to credit approval, we also offer CareCredit. Payment is due at the time service is rendered unless other arrangements have been made in advance.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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    Missed Appointment Policy<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    Our goal is to provide quality, individualized medical care in a timely manner. No-shows, late shows, and
    cancellations inconvenience those individuals who need access to medical care. We would like to share with
    you our policy regarding missed appointments or cancellations.

    As a courtesy and to help patients remember their scheduled appointments, Susong Dermatology sends text message, voice message and email reminders 5 days, 2 days, and on the day of your scheduled appointment.
    By selecting a response on our automated appointment reminder system (1 to confirm, 2 to reschedule, 3 to
    cancel), this lets us know if you plan on keeping your scheduled appointment time.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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    Cancellation of an Appointment<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    In order to be respectful of the medical needs of other patients, please be courteous and contact our office
    promptly if you are unable to show up for a scheduled appointment. If your schedule changes and you cannot
    keep your appointment, please contact us at least 24 hours in advance so we may reschedule you and
    accommodate those patients who are waiting for an appointment. If you need to cancel and\/or reschedule
    your appointment, you can do so by contacting our office and speaking directly with one of our scheduling
    staff, leaving a detailed message with our scheduling staff, or selecting a reschedule or cancellation response
    on our automated appointment reminder system.

    A cancellation is considered to be late when the appointment is cancelled without a 24 hour advanced notice.
    Absent a compelling reason, late cancellations will be treated as a \u201cno-show\u201d due to the time required to
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    A cancellation is considered to be late when the appointment is cancelled without a 24 hour advanced notice. Absent a compelling reason, late cancellations will be treated as a \u201cno-show\u201d due to the time required to adjust schedules.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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    No Show Policy<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    A \u201cno-show\u201d is a patient who misses an appointment without cancelling it. A failure to be present at the time of an appointment will result in a charge to the patient\u2019s account.
    Missed appointments may be charged $50 for an office visit and $100 for a surgical visit.
    <\/strong>This \u201cno-show fee\u201d is not reimbursable by your insurance company. You will be billed directly for it. No further appointments will be scheduled until this no-show fee has been reconciled.
    Susong Dermatology reserves the right to terminate the patient-doctor relationship if a patient has three (3) or more missed appointments<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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    \n\t\t\t\t\t\n\t\t\t\t\t\tWe Care About You\t\t\t\t\t<\/span>\n\t\t\t\t<\/h3>\n\t\t\t\t\t\t\t\t\t

    \n\t\t\t\t\t\tOur patient-first approach and dedication to excellent patient care make us the best\ndermatology group in the Chattanooga area.  We will work with you to find the best answers for your skin needs and solutions that are right for you.\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t

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    \n\t\t\t\t\t\n\t\t\t\t\t\tBoard Certified\t\t\t\t\t<\/span>\n\t\t\t\t<\/h3>\n\t\t\t\t\t\t\t\t\t

    \n\t\t\t\t\t\tDr. C. Rodney Susong is a board-certified dermatologist and fellow of the American Academy of Dermatology. Dr. Susong leads the team of clinicians that work to bring you the best care.\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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    \n\t\t\t\t\t\n\t\t\t\t\t\tMajor Insurances\t\t\t\t\t<\/a>\n\t\t\t\t<\/h3>\n\t\t\t\t\t\t\t\t\t

    \n\t\t\t\t\t\tWe accept Medicare, BlueCross BlueSheild, Cigna, United Healthcare, Aetna, CareCredit and all major credit cards. More information about our insurance can be found here<\/a>.\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t

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    \n\t\t\t\t\t\n\t\t\t\t\t\tProven Results\t\t\t\t\t<\/span>\n\t\t\t\t<\/h3>\n\t\t\t\t\t\t\t\t\t

    \n\t\t\t\t\t\tFor more than 35 years, we have remained Chattanooga's premier dermatology group and are proud to call this area our home. We hope that you will entrust us with your family's dermatology care and look forward to meeting you soon\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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