Please plan to:Arrive 15 minutes before your scheduled appointment timeBring your Insurance card and photo I.D. and insurance referral, if neededIf you have any recent films ( MRI, CT scans, X-Rays etc.) please bring them to your visitList of all medications and allergies
Please come with medical forms filled out.
If your insurance company requires you to have a referral, it is your responsibility to provide us with a copy at the time of your appointment. If you arrive without your referral your appointment will need to be rescheduled.
We require an authorized letter from your workers’ compensation carrier for your visit. If you arrive without your letter we will reschedule your appointment.
Payment is collected at the time services are rendered. Most insurance policies require patients to pay for co-pays, co-insurance and deductibles. It is in your best interest to be aware of these costs. Please understand that with the numerous medical insurance policies available we may not be aware of your exact benefits. We accept cash, checks, credit cards (Visa/ MC/ Discover and AMEX). Please see our patient and staff responsibilities for the type of insurance you are using. Also, we currently accept Care Credit. We ask patients who are currently uninsured or have insurance plans that may not cover certain benefits to apply for Care Credit. The website is www.carecredit.com. If additional arrangements are necessary, our billing department will assist you in the matter. A fee of $30.00 will be charged to your account for returned checks.
A fee of $20.00 will be charged for the completion of each form. The fee must be paid at the time the form is brought into our office. Be sure to complete the patient portion. Forms will be completed within 5 business days.
Medical Records Requests
Medical record request must be in writing with a signed medical release. Allow 5-7 days notice for your records to be processed.
If you request copies of your x-rays, allow 24 hours of your request. You will be required to pay $5.00 for each film that is copied when they are picked up.
Refills for medication are to be requested 48 hrs in advance. Please provide the pharmacy name, phone number and the medication that you are requesting. We will make every attempt to fulfill your request as soon as possible.
To comply with federal regulations (HIPAA) our office has established procedures to make your identity and medical records secure. Your personal information is for proper medical treatment and billing purposes only. We must have on file the names of people to whom your medical information may be released (i.e., spouse, son/daughter).