Report an Access Issue The Society of Dermatology Physician Associates (SDPA) is committed to supporting PAs in addressing challenges they encounter in their practice. To better understand and advocate for solutions to access-related issues, we invite you to share your experiences directly with our Advocacy & Government Relation team. Section 1: Contact Information Question Title * 1. Name Question Title * 2. Practice Location Question Title * 3. Email Address Section 2: Practice Information Question Title * 4. What type of practice do you work in? Dermatology (general) Surgery Cosmetic Dermatology Pediatric Dermatology Other Section 3: Description of the Issue Question Title * 5. What type of access issue(s) are you reporting? (select all that apply) Restrictions on PA scope of practice Barriers to prescribing medication (e.g., prior authorization, step therapy) Insurance or reimbursement challenges Legislative or regulatory barriers Other Question Title * 6. If applicable, what treatments, medications, or services are being impacted by this issue? Section 4: Impact Question Title * 7. How has this issue affected your ability to provide care? (Select all that apply) Delayed care for patients Increased administrative burden Reduced efficiency in the practice Loss of revenue or reimbursement Other Question Title * 8. If known, how many patients have been impacted by this issue? Fewer than 10 10 – 25 More than 25 Unsure Section 5: Resolution Attempts Question Title * 9. Have you attempted to address this issue? (Select all that apply) Discussed with supervising physician or practice leadership Contacted insurance provider or other third party Reached out to state or local PA organizations No action taken yet Other Question Title * 10. If you took action, please describe the outcome: Section 6: Advocacy Support Question Title * 11. What support or resources would be helpful from SDPA to address the issue? (Select all that apply) Legislative advocacy Educational resources Networking opportunities with other PAs facing similar challenges Help file a consumer complaint with state health insurance office Sending an official advocacy letter to the health plan Other Question Title * 12. May we contact you to follow up about this issue? Yes No Done
