Cancellation / Refund Policy

1. Fees

The standard fee is $250 for an initial comprehensive consultation and $150 for an established-patient follow-up consultation unless a different fee is disclosed before payment. The fee purchases professional evaluation and medical decision-making. It does not guarantee a prescription or desired treatment.

2. Cancellation or Rescheduling 24 Hours or More Before the Visit

If you cancel at least 24 hours before the scheduled start time, you may request a refund to the original payment method or reschedule without a cancellation charge.

3. Late Cancellation, No-Show, or Material Late Arrival

If you cancel less than 24 hours before the appointment, fail to attend, or arrive so late that a clinically appropriate encounter cannot be completed, the consultation fee may be non-refundable.

Dermatologic Services may waive or modify this policy for documented emergencies, material technical failures outside the patient's reasonable control, or when required by law.

4. Ineligible Location

If the visit cannot proceed because you are physically located in a jurisdiction where the clinician is not authorized to provide care, the appointment may be rescheduled. If you accurately disclosed your location and Dermatologic Services accepted the booking in error, you will be offered a reschedule when feasible or a full refund.

5. Practice-Initiated Cancellation

If Dermatologic Services cancels because the clinician is unavailable or because of an operational problem attributable to the practice, you may choose a rescheduled appointment or a full refund.

6. Case Not Accepted Before a Physician-Patient Relationship Is Established

If Dermatologic Services determines before the physician-patient relationship is established that the requested service cannot appropriately be provided through this telemedicine model, the practice may decline to accept the case and cancel the appointment.

When the information available suggests that in-person, urgent, or emergency evaluation may be appropriate, Dermatologic Services will provide appropriate redirection, which may include advising you to seek a local emergency department, urgent care center, in-person dermatologist, primary care clinician, or other appropriate provider.

A pre-acceptance cancellation is a decision not to undertake the case and is not intended to terminate an established physician-patient relationship. You remain responsible for promptly following any recommendation to obtain alternative or higher-acuity care.

If the case is declined before substantive clinical evaluation, the consultation fee will be refunded.

7. After Substantive Clinical Evaluation Begins

Once a clinician has begun substantive individualized clinical evaluation, the professional fee is ordinarily earned even if the clinician concludes that telemedicine is insufficient or recommends care elsewhere. The fee is not refundable solely because:

• No prescription is issued.
• The clinician recommends a treatment other than the one requested.
• Additional testing, monitoring, or in-person examination is required.
• A requested medication is contraindicated, unavailable, not covered, or too expensive.
• You disagree with the clinician's professional judgment.
• The clinical outcome differs from your expectation.

Nothing in this policy limits rights regarding billing errors, unauthorized charges, or refunds required by law.

8. Duplicate or Erroneous Charges

Confirmed duplicate or incorrect charges will be corrected.

9. Third-Party Charges

This policy applies only to fees charged by Dermatologic Services. Pharmacies, laboratories, health plans, and other independent providers have separate billing policies.

10. Refund Processing

Approved refunds are returned to the original payment method when reasonably possible. Posting time after initiation is controlled by the payment processor and financial institution.

11. Contact

Use the appointment cancellation or rescheduling link when available. Billing questions: manager@dermatologicservices.com | 347-291-1877.