Existing patients, please click on the provider below at the location you would like to schedule an appointment.

Online Request Form

This appointment request form should NOT be used for emergencies. If you are experiencing a potentially life threatening emergency, please call 911 immediately. A scheduling coordinator will be in contact with you within 2 business days to coordinate your appointment date and time. Knoxville Dermatology Group's online appointment request form is for routine appointments only.

Patient’s Name*

Date of Birth - MM/DD/YEAR*

Phone*

Email*

Best Time to Call

---MorningAfternoonEveningNo Preference

Desired Appointment Day

---MondayTuesdayWednesdayThursdayFridayNo Preference

Desired Appointment Time

---morningafternoon

Desired Appointment Location*

---KnoxvilleSevierville

Desired Appointment Provider

---Lee B. Dittrich, M.D.Matthew C. Hanggi, M.D.George C. Keough, M.D.Susan Freeberg, M.D.Kimberly D. Vincent, MDAngela Smith, FNP-BCPaul Maben, PA-CAmy Browning, PA-CKatie Hageman, PA-CTammie Wampler, PA-CAshley Pierson, PA-C

Brief Description of the Nature of Your Visit*