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Office Policies Appointments & Consultations
After you have made an appointment, we will call you two days in advance as a courtesy to remind you of your upcoming appointment. Please make sure that you have the following items with you when you arrive for your appointment:
Prescriptions
If you are unable to keep an appointment, we ask that you kindly provide us with at least 48 hours notice. This courtesy, on your part, will make it possible to give your appointment to another patient. Emergencies
Financial Policy Our practice is a provider with most major insurance plans. We provide insurance billing as a courtesy for our patients. Please be aware that any costs not covered by insurance are your responsibility. For services that are not covered by insurance, we request payment at the time of your appointment. Co-payments and co-insurances are due at the time services are rendered. Forms of payment accepted by the office are check, cash, insurance assignment and the following credit cards: Fees For Additional Services The fees below are not covered by insurance and are the responsibility of the patient. Medical Records . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $25.00 FMLA forms, Disability forms, Insurance Appeals. . . . . . . . . . . . . $25.00
Request for prior authorization forms from insurance company . . $25.00
No show without 24 hours prior cancellation . . . . . . . . . . . . . . . $25.00
A charge for telephone services may be instituted for frequent or complex calls;
Growth Hormone Start Up Fee . . . . . . . . . . . . . . . . . . . . . . $100.00
If you have any questions regarding which insurance plans we accept or any billing concerns prior to your appointment, please contact our business office at 214-363-5535 option 7. Questions regarding your coverage and benefits should be directed to your employer or insurance company. Medical Records To obtain copies of your medical records, you may contact our Medical Records Department at 214-363-5535 option 5. EAD requires you to sign a Medical Records Release Form prior to sending your records out. If you are requesting copies of records to be sent directly to another physician, there is no charge. However, there is a nominal charge for copies of medical records in all other circumstances for which payment is required in advance. We require 10 working days to complete all medical records requests. |
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