Patient Information

OFFICE POLICIES

The following office policies were developed to help us provide to you the best service and medical care available. You will receive a copy of our office policies each time you come in for your annual exam. We encourage you to read the office policies carefully and note any changes.

1. Please bring the following to every appointment:

• Your current insurance card
• any co-pay or co-insurance that you are required to pay
• a list of your medications and allergies

2. We routinely call to remind you of your appointment. Please be aware that we may not be able to leave a message if you have "call intercept" or "privacy manager". We plan in the future to email reminders to patients, so please make sure we have your current email address.

3. We ask that you arrive at least 10 minutes early for your scheduled appointment. Patients who arrive more than 15 minutes late will need to reschedule.

4. Please call and schedule an appointment for any injection (shot) you may need our staff to administer.

5. Caring for you and your unborn child is of the utmost importance, therefore, Obstetrical (pregnant) patients who miss 2 or more appointments will be discharged from the practice.

6. If you must cancel an appointment, we request a 24-hour notice. You may leave a message on our office voice mail after business hours. We feel very strongly about providing the best care possible for our patients. If we do not see you on a regular basis this is not possible. In addition, time scheduled for appointments that are missed is not available for other patients that need to be seen. Therefore, patients who have missed three (3) appointments without giving a 24-hour notice will be charged a $25 fee. This fee must be paid prior to your next scheduled visit. Patients that miss four (4) or more appointments may be discharged from the practice.

7. Because confidentiality for our patients is important to us and also due to HIPPA privacy laws, if a parent calls regarding a minor's care, we are not permitted to discuss details of care or the reason certain services were performed. The HIPPA privacy laws also apply to a patient's spouse or other family members. Please make an appointment to see the provider with the patient present (child, spouse, relative) if you wish to discuss medical issues or management.

8. As a courtesy to our patients, we will bill your insurance company. However, it is the patient's responsibility to know what your insurance does and does not cover. Each insurance policy has different coverage so we encourage you to call your insurance company if there is any service that you are not sure is covered. Any balance not paid by insurance is the sole responsibility of the patient. Patients will receive three (3) statements in the mail of their account balance that is due. If no payment is made after 3 statements are sent, the account will be turned over to a collection agency. Once an account has been sent to collections we will not be able to see the patient for an appointment until the account is settled.

9. There will be a $25 fee charged for all checks that are returned for insufficient funds. This must be paid prior to the patient being seen for another appointment.

If you have any problems or concerns, please direct those to our Administrator or Providers.