RESOURCES FOR NEW PATIENTS
Your first visit to Mitchell Dermatology involves a few special steps so that we can get to know you. To understand what to expect, please read through this page. You’ll find all the practical information you need!
We welcome you to print and fill out these forms so we can expedite your first visit:
In order to view or print these forms you will need Adobe Acrobat Reader installed.
Click here to download it.
We gladly accept the following: Cash, Check, MasterCard, Visa, American Express, Discover, Debit Cards, Aspire, Brilliant Distinctions and Care Credit.
CareCredit helps you pay for out-of-pocket healthcare expenses for you and your family! Once you are approved, you can use it to help manage health, wellness, and personal care costs not covered by insurance.
Click Here for everything you need to know about the CareCredit healthcare credit card before you apply.
To schedule an appointment, please click on the “Book Online” button at the top of any page or call us at 419-872-HOPE (4673). If, for any reason you cannot keep a scheduled appointment, or will be delayed, please call us as soon as possible.
We respectfully request 48 hour notice for all cancellations.
We require a $25 deposit which can be used towards your treatment or product.
Fees and Payments
Payment for office visits and services such as biopsies, excisions, and cosmetic services are expected at the time of the appointment. Many insurance plans require co-payments, co-insurances and/or deductibles. We will collect these payments at your appointment.
*We apologize we do not accept Medicaid, Paramount Advantage & Buckeye Health Plan.
The Insurance Company and You
We accept most insurance plans. Please have your insurance card available when you make your appointment. This will help us confirm if we accept (are contracted with) your insurance carrier and verify your benefits.
We currently accept assignment from Medicare and participate with most preferred provider insurance plans. Please check with your insurance company to find out if our office participates with your plan or call our billing department for further guidance. The patient is responsible for any deductible and co-insurance balance.
Frequently, health insurance companies may pay only part of the physician’s fee and services. The extent of your benefits is determined by your individual policy. Please keep in mind that services have been rendered to you, the patient, not the insurance company, and you are ultimately responsible for any outstanding balance on your account. We allow thirty (30) days for submission and processing of insurance claims.
We will gladly assist you with questions regarding claims with your insurance company. An account balance outstanding more than thirty (30) days is considered delinquent and at this point, your account may be turned over to collections.