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
Please arrive at least 15 minutes BEFORE your scheduled appointment time. This is to allow enough time to complete the registration and rooming process.
Our providers make every effort to stay on schedule because we VALUE your time.
LATE / NO-SHOW POLICY
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.
If you are running late, please call us as soon as possible. We can then determine if we are able to make an adjustment to the schedule to still see you. It is important to understand that 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 fee.
A short notice cancellation does not allow us enough time to offer your appointment time to another patient.
RETURNED CHECK POLICY
If your check is returned for insufficient funds, you will be charged $30.00 per returned check.
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