Patient Resources

In order to make your visit most successful, we ask that you please arrive 20 minutes prior to your first appointment. When you arrive, please bring the following to your appointment:

• Your insurance card and ID
• List of any medications you are currently taking
• A copy of the completed forms above, if you have not already submitted one prior to your appointment.

Prior to your arrival at Central Coast Dermatology, we ask that you complete the forms found below- this will be uploaded to a secure email and allow us to expedite your check-in time.

New Patient Form

Having difficulties accessing your new patient forms? Click here.

Your care in our office can heavily rely on records from your previous providers. For your first appointment, we require records of any care you’ve had regarding your diagnosis before your visit. If you have had any imaging, consultations, or emergency room visits outside of Onslow Memorial Hospital concerning why you are coming to see us, you can print a medical release form (ROI) here and drop it by the office for our staff to begin to obtain those records.

Important Note: This paperwork should only be filled out by patients with existing appointments. When you fill out the paperwork, it will not result in an appointment being scheduled. Please phone our office to discuss your scheduling options prior to completing this paperwork.

We ask that you please arrive 15 minutes prior to your appointment time.

To confirm your appointment date and time, please contact (910) 577-2334. Reminder calls and texts are made electronically 48-72 hours in advance. Call our office to enroll in text messaging if you aren't already.

Walk-in appointments are not available.

Please call if you have an urgent matter and need to be seen same day. We will do our best to accommodate you.

If you're paying a bill for Onslow Ambulatory Services, please use this link: https://quickpay.onslow.org/

To make payment arrangements:

You may pay your account balance by Visa, Master Card or Discover. Online payments are available here or you may set up a payment arrangement by calling our Extended Business Office at 1-888-221-3586 Monday through Friday from 8:00 a.m. to 5:00 p.m.

Payments can be made at 200 Memorial Drive, Jacksonville, NC 28546.

All insurance co-payments and deductibles are due at the time of service.

If you have any questions, please reach out to our Patient Financial Services Customer Service by calling at 910-577-4703 or 1-888-221-3586 or visiting the office at 200 Memorial Drive, Jacksonville, NC 28546.

We are committed to providing you with high quality patient care and services to include our billing process and our Patient Assistance Program. Our Patient Financial Service representatives are available to assist you from 8:00 am to 5:00 pm Monday through Friday. We are closed for holidays.

Always check with your insurance company before selecting a physician.

We accept most major insurances.

The purpose of this document is to let you know about your protections from unexpected medical bills. You may also be given the option of whether you would like to give up those protections and pay more for out-of-network care.

Surprise Billing Notice (English)

Surprise Billing Notice (Spanish)

In order to serve our patients in a timely manner we adhere strictly to our schedule. If you are 15 minutes late for your appointment, we may ask you to reschedule to another date and time. Please inform our office if you are running behind so we can adjust our schedule accordingly or reschedule as appropriate.

If an appointment must be cancelled or rescheduled, please notify us at least 24 hours in advance. Cancellations made less than 24 hours prior to the scheduled appointment time, as well as no shows, will be charged a fee of $25.00. Informing us of your cancellation simply allows us to see other patients that may need to be worked in and opens up other scheduling options for patients.

If a patient fails to notify the office 24 hours ahead of the scheduled appointment and does not attend the appointment, this is considered a ‘No Show’. No show appointments may be charged a fee of $25.00, non-billable to insurance. No show appointments are to be rescheduled at the discretion of the provider. New patients that fail to notify the office and No Show their first appointments may not be rescheduled in the office.

Please refer to our Appointment No Shows Policy document for more information.

If you have any special needs or requirements, please make sure that you bring these to the attention of our staff before your scheduled appointment time. Courtesy wheelchairs are available for your use.

It is the policy of our office to return all calls within 72 business hours, should you phone and get a voicemail please leave a detailed message to include the patient's name and date of birth (DOB), as well as pharmacy if the request is for medication refills.

Please allow up to 48 hours for prescription refill requests to process. You may request a refill by calling our office or your pharmacy.

Please refer to our Photography/Recording Patient or Staff Policy for information.

Please do your best to silence your cell phones upon entering our practice to better serve you and our patients.