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Patient Information

Notice of Privacy Practices Appointments Your First Visit Insurance Information Referrals

Prescriptions and Refills Telephone Fees and Billing Hospital Affiliations Office Staff

Notice of Privacy Practices

We understand that medical information about you and your health is personal and we are committed to protecting your privacy. Our Notice of Privacy Practices describes how information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

Appointments

We see patients by scheduled appointment only. Scheduled appointments allow us to better serve your needs to keep waiting times at a minimum.

Please call as far in advance as possible for an appointment. If you are unable to keep it, please call to cancel so your appointment may be given to another patient.

Appointments for injections and office exams are also available at Sullivan Community Hospital on Thursday afternoon 1:30 p.m. to 4:30 p.m. Call 812.268.4311, ext. 2204, for physician availability.

Your First Visit

On your first visit, please bring:

• Your insurance card
• Referral from your primary care physician, if required
• Related x-ray films
• Related test results

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Insurance Information

Our physicians participate in Medicare and Indiana Medicaid. We also belong to several HMO and PPO's, Managed Care, and PSO's. We do not accept Illinois Public Aid.

It is important to check your insurance providers list of participating physicians to be sure your program allows you to be seen at our office. Also, please review with your insurance provider the rules and limitations on coverage and reimbursement

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Referrals

If you are insured by a managed care plan, it is YOUR RESPONSIBILITY to obtain your referrals from your primary care physician. This pertains to all visits, including follow-ups.

Prescriptions and Refills

Please ALWAYS have your pharmacy phone number available at the time you call the office with a medical problem or refill.

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Telephone

Between visits, you may wish to call regarding special problems. Whenever possible, please call during office hours.

After regular hours, our doctors are available through the answering service for calls of an urgent nature.

Fees and Billing

Charges for visits vary depending upon the services rendered. Payment is required at the time services are rendered if you do not have insurance. Co-payments and deductibles are required at the time of your visit. Check, Cash, Visa, and Mastercard are accepted.

Hospital Affiliations

• Union Hospital
• Columbia Regional Hospital
• Sullivan Community Hospital

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Office Staff

Jacquita Foster Office Manager	Lori Asher Medical Transcriptionist
Shirley Fry and Carol McConnell Insurance Clerks

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