New Patients & Insurance

We look forward to your upcoming appointment at Malama Dermatology, LLC. In order to coordinate your care safely & effectively, please complete and review the following:

Insurance and Payment:

• Credit card on file is required for all patients but is only utilized in the event of a patient refund, delinquent payment, no show or admin fee.
• Payment is due at time of your appointment for services performed and may include co-pay, co-insurance &/or unmet deductible depending on your plan’s benefits. As a courtesy, we will attempt to verify your plan benefits, however, if your benefits cannot be verified, full payment based on a cost estimate is due at the time of service, and you will be refunded once your insurance has been processed.
• Cash, check and credit cards are accepted.
• Bring your ID and insurance card(s). We encourage you to call your insurance company to ensure we are in your network.
• We are not in-network with patients with Medicaid as a primary or secondary insurance. However, we are happy to see Medicaid or out-of-network patients as self pay. Click here to see plans accepted.
• HMO plans require an HMO referral &/or an authorization for your insurance to cover your visit. Please contact your primary care physician’s office. If not received, you may be subject to self-pay pricing at the time of your visit.

Complete Sadio Portal Forms and Consents Prior to Your Visit *Required:

• You will receive an Appointment Reminder Text to your mobile phone at least 4 days prior to your appointment.
• Upon CONFIRMING your Reminder Text, you will be prompted to complete your Sadio Portal forms and consents prior to your visit.
• Please complete any additional Patient Forms that apply to your visit.

COVID-19 policy

• Masks are optional, but may become mandatory in the event of a community COVID-19 surge.
• Reasons to reschedule: Positive COVID test or suspected COVID in the last 10 days.

HIPAA Release

• If you would like Malama Dermatology, LLC to allow another person(s) to discuss your medical care, including Protected Health Information, please complete this Authorization Form.

Minors

• A parent or legal guardian is required to accompany all patients 17 years old or younger. If a parent would like to designate another individual to bring the minor to his/her appointment, please complete the Minor Consent Form.

Medical Records

• A Medical Records Release is required to release Malama Dermatology medical records. Please complete the Medical Records Form.
• If you would like to send medical records TO Malama Dermatology, LLC please call the office/physician where your care originated and fax to 808-201-4951.

No Show and Late Appointment Policies

• No-Show Policy: In the event that you need to cancel or reschedule your appointment, please call 48 business hours prior or a no-show fee of $25 for a visit will be assessed. If you No Show your first appointment, you may not be rescheduled.
• Late Appointment Policy: Patients who arrive more than 15 minutes after their scheduled appointment time may be kindly asked to reschedule. We appreciate your understanding and cooperation!