About Your Visit
The information contained in the section pertains to all the essential things you should know when planning an appointment. We look forward to treating you and KEEPING YOU IN PLAY!
New Patients
Please arrive 15 minutes before the scheduled appointment and bring the following:
Insurance card.
Driver’s license or picture ID.
List of current prescriptions and/or over-the-counter medications, including dose and frequency.
Information about patient’s medical and surgical history.
Recent test results, including x-rays, MRI’s, CT Scans, and the medical reports for each.
Any questions you may have for the doctor.
WORK-RELATED INJURY? You must also provide:
Name, address, and telephone number of the workers’ compensation insurance carrier.
Date of accident.
Workers’ compensation claim number.
MOTOR VEHICLE ACCIDENT INJURY? You must also provide:
Name, address, and telephone number of insurance carrier.
Claim number.
Attorney name and phone number.
SCHOOL-RELATED INJURY? You must also provide:
Name, address, and telephone number of school’s insurance carrier.
Injury form provided by the school nurse, coach or trainer.
SLIP AND FALL INJURY? You must also provide:
Attorney name and phone number.
Date of accident.
Payment policy
If your insurance plan requires you to pay a co-payment, co-insurance and/or deductible, it will be necessary to pay at the time of your visit.
Payment will also be required for all non-covered services. For your convenience we accept cash, checks, Visa, MasterCard, American Express and Discover.
If you do not have insurance, we can arrange a payment plan for you.
A fee of $30.00 will be charged to your account for returned checks.
Medical record Request
Medical records requests must be in writing, accompanied by a signed medical release.
Allow 5-7 business days for your records to be processed. Payment for copying services will be due prior to the release of medical records.
There will be no fee for records sent to another provider office.
X-Ray copies
If you request copies of your X-rays, allow 24 hours for your request to be honored. A fee of $10.00 per film will be due upon pick-up.
Prescription refill
Please provide the pharmacy name, phone number and the medication that you are requesting. Upon Physician approval, our staff will refill request within 24 hours.
Patient confidentiality
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).
Cancellations
If you are unable to keep your appointment or are going to be delayed, please call our office. As a courtesy, we request that you provide 24-hour notice for cancellations.