Palmetto Family Medicine:: Laser Skin Treatments

Beginning July 2, 2007 Palmetto Family Medicine will have several new policy and procedure changes.

No NEW medicines will be prescribed over the phone. If you need a new medication you must call the office and schedule an appointment.
Please allow 24 hours for all refills to be processed.
Please bring your medications with you at the time of your visit so your physician may address any questions you may have and provide refills if you need them.
If you need a prior authorization you will need to schedule an appointment to meet with your physician. If your visit is for a prior authorization please bring your drug formulary with you to your visit. Please call your insurance company and have them send you a copy of your drug formulary before you come in to see your doctor.
Please bring your insurance card with you to EVERY visit.
Please come prepared to pay your co-pay at every visit.

We appreciate the opportunity to provide your family's healthcare 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.

Insurance Cards
Please bring your insurance card with you to every visit. If you have a new card, have changed carriers, or if any other changes have occurred with your insurance company, please notify our front desk upon arrival. We can only bill your insurance company for your visit if we have accurate insurance information. If we do not have updated information, you will be billed as a self-pay patient and will be charged for the entire amount of your visit. If your insurance requires a co-pay please be prepared to pay at the beginning of each visit. If you do not pay your co-pay at the time of your
visit we will charge you a $15.00 billing fee.
Click here to view our Insurance Plans

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 charge a $25 no-show fee for any appointment not cancelled 24 hours in advance.
•	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
Contact your pharmacy and they will fax your doctor a refill request form.

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.

Labs & 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.

Office Forms

	Patient Information Form
	Patient Medical History Form
	Patient Financial Policy Form
	Notice of Health Information Practices
	Acknowledgement of Receipt of Privacy Notice

DOWNLOAD FREE