Forms & Policies
If you do not have access to your patient portal, you can download and print the registration forms and complete them before your appointment.
Patient Registration Forms
Patients with Medicare (only):
Medical Records Release
LATE / NO-SHOW POLICY
Please arrive at least 15 minutes BEFORE your scheduled appointment time. This is to allow enough time to complete the registration process. If you arrive more than 10 minutes past your appointment time…or you completely miss your appointment…you will be considered a “No Show” and be asked to reschedule.
Our providers make every effort to stay on schedule because we VALUE your time.
If you are running late, please call us as soon as possible. We will then determine if we can make an adjustment to the schedule to still see you. However, a late arrival may result in an increased wait time for you.
If you are not able to keep your appointment, please call us at 402-413-7460 at least 24 hours before your appointment time to avoid being charged a $25.00 late fee. Short notice cancellations do not allow us to offer your appointment time to another patient.
If you need access to records that are not available on your patient portal, please
print and complete the medical records request form and fax or mail it to:
Dermatology Associates of Lincoln
6969 South Street
Lincoln, NE 68506