Patient Forms

Authorization & Privacy Form

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Submitted On:
Jul Wed 2015
File Size:
383.49 Kb
Downloads:
7552

Health Information Form

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Submitted On:
Jul Wed 2015
File Size:
430.18 Kb
Downloads:
6761

History & Intake Form

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Submitted On:
Sep Mon 2015
File Size:
407.57 Kb
Downloads:
6479

Medical Records Release

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Submitted On:
Jul Wed 2015
File Size:
346.83 Kb
Downloads:
3691

Patient Information Form

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Submitted On:
Sep Mon 2015
File Size:
90.03 Kb
Downloads:
6863

Text Message Appointment Reminders
Click Here to sign up for appointment reminders directly on your cell phone through text message.  

Please visit the registration desk in our lobby for more information.

Dermatology Medical Payments Online
Click Here
to sign up for online payments for your office visits with us.  

Administration

Request Appointment

Office Hours

Monday – Thursday: 8:00 AM – 5:00 PM
Friday: 8:00 AM – 3:00 PM

(We are closed from 12:00 PM – 1:00 PM)

Contact Us

(423) 870-3376 Office
(423) 877-1387 Fax

C Rodney Susong MD PC
2051 Hamill Road, Suite 301
Hixson, TN 37343

Chattanooga Skin Care

Missed Appointments

Missed Appointments will be charged $50.00
Missed Surgical Appointments will be charged $100.00

See our full Missed Appointments Policy for more information.
Register for our Appointment Reminder text message system.