Patient Information and Forms - Franklin Dermatology Group & The Aesthetic Center
Save time and be prepared with convenient access to patient information, forms and policies. Patients can simply download, print, and complete the applicable forms and bring them with you to your appointment.
New Patient Forms, New Patient Information Packet
Please complete all the forms in the “New Patient Information Packet.” All the forms in this packet are are required to be completed by new patients. Completing these in advance of your visit will save you time.
- Download: New Patient Forms and Policies Packet
Other helpful forms for new and existing patients
- Download: Medical Record Release Authorization
- Download: Minor Consent Form
- Download: School/Work Excuse
- Download: Interpreter Services Info
- Download: Mohs Surgical Center – Surgery Packet
We have a trained staff available to talk with you and address your concerns about insurance, appointments, directions, clinic hours, procedures, wound care, treatment instructions and more. Please note the following policies:
We accept most medical insurances, but not all. We highly recommend that you confirm your coverage prior to your appointment.
You will be asked to accept responsibility for payment for insurance non-covered services and deductibles. All co-pays are required at the time of office visit.
Appointments are scheduled on a first-come, first-served basis. We strive to work with your schedule as much as possible. Please arrive a few minutes early for your appointment. If you arrive late for an appointment, please understand that you may be asked to wait until on-time patients are ahead of you.
All injectables require payment in full at the time of service. Some injectables may also require a non-refundable deposit.
When you call the office, listen to the instructions for leaving prescription refill requests. If you have not been seen in our office recently, you may be asked to come in for a brief appointment. We want to see you to ensure the prescription is still the most prudent course of action. We know it can be an inconvenience to come in — especially if you’ve been on the medicine for a long time. But competent patient care is our number one priority and the only way to give that is to meet briefly to ensure the medication still makes sense, is still the most effective, and is not causing any side effects. Read “Why your doctor won’t refill prescriptions over the phone” – a short article that sums up our thoughts on this issue fairly well. ) Prescriptions are refilled during normal business hours only. We do not refill medications on holidays, weekends or after regular business hours.
Web-based Consultations or Tele-Medicine
In response to the COVID-19 pandemic we now offer web-based dermatology consultations (Tele-medicine). Please call our office for more information and to see if this is the right option for you. Call us at: (615) 771-1881
Any time you feel you could have an emergency, you should call 911. If you have an emergency involving a treatment by Franklin Dermatology Group or Latour Skin Care Center, call us during normal business hours at (615) 771-1881. After hours of weekends, go to a nearby medical facility or emergency room and they will contact us. If you believe you have an emergency involving the skin and have not been to Franklin Dermatology Group or Latour Skin Care Center for that problem (for example, a burn), you should go to the nearest medical facility or emergency room. They will contact us if we are needed.
We very much prefer to avoid collection agency procedures. So we ask that you not ignore our payment-due notifications, and please call and ask about alternative payment arrangements in times of adverse situations.
Your Health - Our Mission
Franklin Dermatology Group and The Aesthetic Center are a dynamic and dedicated team committed to delivering excellent dermatologic care to our patients by providing exceptional medical, surgical, and aesthetic services.
Request a Consultation
Complete the form below and we will be in touch to schedule a consultation at a time convenient to you. We gladly welcome new patients and referrals.