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Our skin doctors provide treatment for itchy skin, allergy reactions, eczema and skin cancer.

Request an Appointment

New and Existing Patients:

To schedule an appointment at any of our dermatology offices, please call us at (978) 254-1600.  Or, you may request an appointment online using our interactive appointment request form below. Our appointment scheduler will respond to your request within 48 hours.

Be sure to bring any diagnostic films or other test results that may have been ordered or performed by another physician.


Once you have made your initial appointment, you may download and print the forms, fill them out, and bring them with you to your first visit. Completing the forms prior to your visit will help speed up the new patient registration process.  Just a reminder, we require a minimum of 24 hours' notice for cancellation of any appointment at all office locations.  Unattended appointments are an interruption in the continuity of your care as well as missed opportunities for other patients. 

Office Documents of interest:

Please note: It may take a few minutes to load the forms if you are using a slow internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.

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Established Patients:

Please sign in to our patient portal to request an appointment and update forms. If you have not registered for our secure portal or have not received authorization to begin using the portal, call our office to obtain a registration PIN.

24 Hour Cancellation and No Show Fee Policy

Each time a patient misses an appointment without providing proper notice, another patient is prevented from receiving care.  Therefore, Dermatology Associates of concord reserves the right to charge a fee of $75.00 for all missed appointment (no shows) and appointments which are not cancelled within a 24-hour business day advance notice.

No show and 24-hour cancellation fees will be billed to the patient.  This fee is not covered by insurance and must be paid prior to your next appointment.  Multiple no shows and cancelled appointments with less than 24-hours business day notice in any 12 month period may result in termination from the practice.

Credit Card on File Policy - Effective March 13, 2018

Thank you for choosing Dermatology Associates of Concord, Inc. for your dermatology and skin care needs. We are committed to providing you with exceptional medical care, as well as making our medical billing processes as simple and efficient as possible.  Recent shifts in the healthcare industry have resulted in insurance companies increasingly transferring costs to our patients, you, the insured.  This is driving many physician practices to adopt new financial policies to enable more efficient operational processes.

Some insurance plans require deductibles, co-insurances, and co-payments in amounts not known to you or us at the time of your visit.  Please take a moment to familiarize yourself with our practice's new Credit Card on File Policy.

To streamline our billing and payment systems and to provide a seamless, convenient way for patients to pay their bills, Dermatology Associates of Concord, Inc. requires all patients keep an active credit card on file with us.  The credit card information is kept secure in a vault by Vantiv, our payment processor.

We will bill your insurance company first.  Once your insurance has processed your claims, they will send an Explanation of Benefits (EOB) to both you and our office showing the amount of your total patient responsibility.  You will typically receive the EOB before we do.  If you disagree with the patient responsibility balance owed, it is your responsibility to contact your insurance carrier immediately because we will charge your credit card for the amounts the insurance company notifies us as the responsibility of the patient.  Circumstances when your card would be charged include but are not limited to: co-payments, deductible and co-insurance, any non-covered services and/or denial of services, and no-show fees in accordance with our policies.  Once your credit card is charged, we will send you a copy of the charge by email.

We will not seek your prior authorization to charge the amounts.  Your signature on this policy IS your authorization.

How your Credit Card Information is Stored

We place a high priority on keeping your personal and financial information secure.  Under HIPAA, we are under strict rules and guidelines in terms of protecting the privacy of protected health information.  Under the Payment Card Industry Data Security Standard (PCI DSS), our payment processor, Vantiv, is required to comply with very strict standards to safeguard your credit card information.  Dermatology Associates of Concord, Inc., as a merchant of Vantiv, is also required to maintain PCI DSS and HIPAA compliance.  When you come to our office our staff will enter your information into our secure e-payments portal.  All communications between Dermatology Associates of Concord, Inc., e-payments, your bank and our bank are encrypted end-to-end protecting your data.

Estimated Charges Available Before Your Visit

You may contact one of our Billing Representatives in advance if you would like an estimate of what your charges may be.  For numerous reasons, we can only estimate the amount of your responsibility.  For instance, we cannot guarantee the remaining deductible amount will be the same as the day we perform a status inquiry and when the claim actually adjudicates with your insurance plan.  Also, the services you actually receive may vary from the services estimated due to the best medical judgment of your healthcare provider.

If the credit card we have on file for you changes, please notify us IMMEDIATELY, by calling the billing office at 978-369-9023 x8101.  It is not uncommon for people to change or cancel their credit cards for various reasons, including when a credit card expires.

If we run your credit card and it is denied for any reason, we reserve the right to charge an additional $35 declined card fee if we are not able to run a new credit card within 7 days. This is similar to the $35 fee that we also charge for returned checks.   We will contact you by email or leave you a phone message on the phone number you provided for us, asking you to give us a call to inform us of your new credit card number right away, in order to avoid the additional charge.  We will enter the new credit card number into your file, and that will become your new card on-file, subject to the same financial policy as the card you gave us in-person when you were in the office.  If there is a problem with your bill/claim and it is brought to our attention after your credit card payment processes, we will investigate it and if we owe you the amount, we will gladly refund it to the same card in a timely manner.

We understand that there are legitimate reasons that you may not have a credit card.  If this is the case, you are welcome to leave an HSA (Health Savings Account) or Flex Plan Card on File.  You may also pay for your estimated visit charges today with cash or a personal check.  If your insurance determines there is less owed than what you pay today, we will gladly refund the difference owed in a timely manner.

Pre-Authorized Patient Healthcare Cost Responsibility

Every patient will be asked to sign and agree to Dermatology Associates of Concord, Inc.'s Credit Card on File Policy and authorize Dermatology Associates of Concord, Inc. to keep his/her signature and a valid credit/debit card number securely on-file in his/her account.  This will authorize Dermatology Associates of Concord, Inc. to automatically charge the credit card for any outstanding balances.  These include but are not limited to: insurance denials for ANY reason (including no referral on file); missed or cancelled appointments; deductibles; co-payments; co-insurances; partially paid claims; and cosmetic procedures. If the credit card given changes, expires, or is denied for any reason, the patient agrees to immediately give Dermatology Associates of Concord, Inc. a new, valid credit card.  Regardless of whether the patient chooses to convey that new credit card information by telephone rather than in person, patient understands that his/her authorization and use of the new card remain subject to this Policy.  Patient understands that he/she is responsible for payment and all medical services provided to him/her by Dermatology Associates of Concord, Inc.

Patient understands that his/her insurance may deny or delay payment for these services or only partially pay them, and he /she agrees to allow Dermatology Associates of Concord, Inc.  to immediately charge his/her credit card on file for the balance if that happens.  Patient understands that this form is valid until he/sh cancels this authorization through written notice to Dermatology Associates of Concord, Inc.

Credit Card on File FAQs (Frequently Asked Questions)

 Do I have to leave my credit card information to be a patient at this practice?

Yes, to be fair, we must apply this policy to all our patients.  If you do not want to leave your credit card on file on the day of your visit, you may still be seen.  You will need to pay in full for that day's estimated charges by credit card, check or cash.  We will still submit your charges to insurance as a courtesy.  We will gladly refund any amount not owed by your after insurance has processed your claim.

I always pay be bills on time.  Why do I have to do this?

More deductible plans and higher co-payments and co-insurances make it necessary to create a financial policy that includes credit cards on file.  Patient accounts that we send to collections drive up costs for everyone.  Reducing unnecessary costs and staff time helps us to serve your better.  For those who always pay on time, nothing changes about how much you end up paying.

How will you store my credit card information?

We do not keep any credit card, debit card or HSA/FSA card information on file in our office, or on any of our computers.  We use a secure, compliant gateway as required by payment card industry regulations.  We cannot see your card number - only the last four digits.  There is no way to export the number out of our system.  It can only be used to process a payment in our practice management system.

How much will you charge my card?

Your card will only be charged if your insurance company does not cover the full amount of your visit.  Your insurance company tells us what your responsibility is and what you will be charged.

Will you send me a bill to let me know what I owe?

After your appointment, you will receive an Explanation of Benefits (EOB) from your insurance company that will tell you what you are responsible for.  We receive the same letter typically within 20-30 days following your appointment.  We will review each EOB carefully and charge your credit card with the amount that is determined by your insurance to be your responsibility.  You do not receive a separate bill from us.You will receive an email reminder 5 days prior to the charge on your credit card.

Will you send me a receipt?

lf you leave us a valid email address, your receipt will be emailed.  If you would like a hard copy of your receipt, please contact our billing department at 978-369-9023 x8101.

What if there is a payment discrepancy or I have other payment questions?

Please contact our billing department directly to settle payment discrepancies or for other payment questions.  We will always work with you to determine if there has been a mistake on your bill, and we will gladly refund you if we have made a billing error.  We will only charge you the amount that we are instructed to by your insurance carrier in your Explanation of Benefits.  This policy in no way compromises your ability to dispute a charge or question your insurance company's explanation of benefits. 

Does my doctor know you are doing this?

Yes, all of the doctors at Dermatology Associates are aware that we do this.

My EOB says that I saw Dr. Anne Allan.  I never saw her.  What is this charge?

Dr. Anne Allan is our pathologist.  If you have a biopsy or other skin surgery, your specimen is typically sent to our lab for processing and analysis.  Please talk with your doctor if you have questions about this.

Appointment Request Form

Please do not use this form if you have an urgent medical problem or you need to re-schedule an existing appointment. Instead, contact our scheduling department 978-254-1600.

Please be aware that  selecting a desired day/date and time is not a guarantee of an actual appointment at that time.