Forms

POLICIES

We appreciate the opportunity to provide your health care needs. These policies are intended to allow us to provide health care services to as many patients as possible in a timely manner. Thank you for understanding and cooperating.

VOICE MAIL

We have voice mail for your convenience. Leaving a message prevents being on hold during peak hours. However, you may press (0) for the operator at any time.

We are pleased to add a texting service, please use message button to send us a text.

INSURANCE CARDS

To decrease insurance errors, you must present your insurance card at every visit. If you do not, you must pay for the visit at the time of service.

PAYMENT FOR SERVICES

Payment for services rendered is expected at the time of service,Including co-pays, deductible and co-insurance. We accept cash, credit cards, or checks.

SCHEDULED APPOINTMENTS

  • Please arrive 15 minutes before your appointment time to register.
  • If you are unable to keep your appointment, please call our office the day before to cancel or reschedule. We reserve the right to charge for missed appointments
  • We do our best to see you in a timely manner when you come in for your appointment. Therefore, if you are more than 15 minutes late, we reserve the right to reschedule you for another time.

PRESCRIPTION REFILLS

Prescription refills should not be an emergency. They should be handled during scheduled office appointments or by calling the prescription refill line during regular office hours. Refills will be filled within 3 business days (not including holidays and week-ends). Please do not walk-in to request refills. Narcotics, anxiety medicine and other controlled substances will only be prescribed by your primary care physician. The On Call Physician will not call in these prescriptions.

REFERRALS AND AUTHORIZATIONS

If an authorization or pre-certification is required by your insurance, we will need a minimum of 72 hours to contact your insurance company for authorization. And in some cases it is necessary for you to be seen by our physician first.

HOSPITALIZATION FOR OUR ADULT PATIENTS

Our practice has made the decision to offer early and evening walk-in clinics for your convenience. With this comes the necessity to turn our hospital care for adult patients over to a team that does this full-time. The consultant groups we utilize are located in each of the area hospitals and can meet the needs of our adult population in a timely manner. Consultant groups used are based on the individual hospitals and accept most insurance plans, they provide the specialized care that is needed in the hospital.

LABS OR OTHER FACILITIES AND YOUR INSURANCE

Our staff will attempt to determine the lab or facility that your insurance covers, but it is ultimately your responsibility as the patient/insured to confirm the correct lab or facility.

PATIENT FORMS

All new patient forms will be completed through our Epion digital platform.  New patients will receive a link in a text message referencing Epion.  Simply follow the link and complete the online new patient forms.

For flight physicals, download the forms below:

Flight Physical Pre-Visit Checklist
Flight Medical Certification Application

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