Office Hours: The office opens at 8am and closes at 5pm Monday-Thursday with a closure during lunch from 12pm-1pm. On Friday the office opens at 8am and closes at 12pm 

Cancellation/No Show Policy: If a patient cannot adhere to a scheduled appointment, it is the patient’s responsibility to call the office to cancel within 24 hours of the scheduled appointment. Restoration Dermatology reserves the right to charge a $50 fee if the patient does not cancel his/her appointment within 24 hours. A loss of deposit for surgical or aesthetic services may occur if the patient does not cancel within 24 hours. Administrative fees incurred for failure to provide cancellation notice are not billable to insurance or any other third-party payor. These policies include appointments with all providers and estheticians. 

Late Arrivals: Rescheduling may be necessary if you arrive more than 15 late for your scheduled appointment. In the event you are running late, please contact our front desk and we will do our best to accommodate you. If time allows and your provider has the ability to work you back into the schedule, please be aware there may be a wait for you to be seen. 

Appointment Reminders: You will receive a text message and email confirmation after booking any appointment. Another reminder text message will be sent out two days prior to your scheduled appointment to allow for changes to be made, if necessary. You may choose to opt-out of these types of communications at any time. 

Release of Medical information: If at any time you should need a copy of your medical records, a written release is required to be signed and dated. The form is available at our front desk and can be found on our website. Please allow up to 15 business days to complete your request. If your request is urgent, please mark the request as urgent and someone from our staff will contact you to expedite your request. If a secure fax number cannot be provided, records must be mailed to your address on file. Copies of blood work and pathology reports are provided at no charge, but copies of your complete medical record or our office notes may require a fee. If you have a consulting physician you would like to have listed as an authorized recipient of your medical information, please request and complete a release for each physician you wish to receive your records. 

Expiration of and Right to Revoke Authorization To Disclose Protected Health Information: I understand that I can withdraw my permission given at any time by giving written notice stating my intent to revoke authorization to a person or organization named under “Consent for Communication”. I understand that prior actions taken on this authorization by entities that had permission to access my health information will not be affected. The duration of this authorization is indefinite unless revoked with written notice. 

Physician Assistant, Nurse Practitioner, & Aesthetician Information:  Restoration Dermatology may staff physician assistants, nurse practitioners and aestheticians to assist in the delivery of dermatology care. A physician assistant (“PA”) is not a doctor but is a graduate of a certified training program and is licensed by the Texas Physician Assistant Board. Under the supervision of a physician, a PA can diagnose, treat, and monitor common and acute diseases. Aestheticians provide services as directed by a PA, nurse practitioner or physician. I understand that I will be treated by the provider I am scheduled with and will be notified prior to my appointment if any changes to the servicing provider must be made. I have read the above and hereby consent to the services of a PA, nurse practitioner, or aesthetician for my health care needs.