Patient Information

Financial: We have developed a detailed policy (separate form) concerning your financial obligations relating to services rendered at our Practice. Please familiarize yourself with these obligations and we welcome your questions if you do not understand or would like clarification about a particular policy.

Missed Appointments: As mentioned previously, our schedule remains full, sometimes booked out as much as six (6) months in advance. It is the patient’s responsibility to contact our office to reschedule/cancel an appointment. If you fail to notify our office to cancel/reschedule your appointment at least 24-hours in advance, your account will be charged a $25.00 “no-show” fee. Please note the fee will not be billed to your insurance company. In addition, your chart will be flagged and you will receive a notice that you have missed an appointment. Accounts that accumulate three (3) or more missed appointments fees may be dismissed from the practice.

Medical Records/Paperwork Request: It is our policy not to release any medical records, including immunization records, without first having the patient complete an Authorization to Release Medical Records. Anyone of our Check In/out staff members can assist you with this request. Please note it may take 24-48 hours (10-21 days for Leave/FMLA paperwork) to complete your request. In addition, it is our policy to charge a small administrative fee for such paperwork at the time of request. Please note the following:

Patient Rights and Responsibilities: At your first visit, you will be provided with our Practice’s HIPAA Policy as it relates to the handling, distribution, and storage of your Protected Health Information, more commonly referred to as “PHI”. You will also be provided with a document to complete which tells our staff who may receive your “PHI” and how you would like our office to communicate important medical information and appointment reminders to you and your designated parties or “Power of Attorney’s”. You have the ability to change/revoke your authorization at any time by completing another authorization form.

If you feel that your protected health information “PHI” has been inappropriately used, accessed, or released, you may file a complaint with the Privacy Officer, Cathy Harrison. Please contact our office at (229) 242-6061 and ask to speak with her. We take concerns seriously and our staff understands their obligations to protect the confidentiality of your “PHI”.