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Provider Referral

Patient Referral

Dear providers:

Carolina’s Dermatology and Plastic Surgery is committed to providing the best care for your patients’ needs of Dermatology, Mohs Surgery, and Plastic Surgery.

If your patient needs to be seen urgently, please note that in the referral form. We will see them within 4 business days if not sooner.

BEFORE SENDING A REFERRAL:

Please see below an updated list of insurance plans that we accept.

Accepted Insurance Plans
  • Absolute Total Care (Excludes Medicaid)
  • Aetna And Aetna Medicare
  • Allied
  • Ambetter
  • Blue Choice
  • Blue Cross Blue Shield (We Do Not Accept Prefixes Cns, Cnn, Peq, Pez)
  • Blue Cross Blue Shield Federal
  • Blue Cross Blue Shield State (Peba)
  • Champ Va
  • Christian Brothers
  • Cigna (Excludes Cigna Medicare)
  • Claimdoc
  • Department Of Energy/Labor
  • First Health
  • Freedom Life
  • GEHA
  • Healthgram
  • Healthsmart
  • Humana Medicare
  • Medcost
  • Medicare
  • Medishare
  • Molina Marketplace (Excludes Medicaid)
  • Multiplan (Excludes Sentera)
  • Planned Administrators (Pai)
  • PHCS (Excludes Sentera)
  • Prisma Health Insurance
  • Tricare
  • United Health Care and United Healthcare Medicare (Excludes UHC Oxford Freedom)
  • UMR
  • Veterans Administration (Referral Required)
NOT Accepted Insurance Plans
  • Clover
  • First Choice
  • Medicaid
  • Select Health Medicaid
  • Senter
  • VIP Medicare Advantage
  • Wellcare Medicare Advantage
  • Workers Compensation

To refer your patient to one of our offices, simply fill out our online patient referral form.

For patients from any facility (nursing, home, assisted living, etc)

If the patient, for any reason, can not consent to any treatment by our practice, we request that the patient’s responsible party (such as relatives) fill out and sign this form before the visit.

Request Appointment

*This is a request form, not a guaranteed appointment. Upon receiving this completed form, we will contact you to confirm your actual appointment. If you need immediate assistance, please give us a call.