|
|
|
INITIAL VISIT REGISTRATION
Welcome! Your first visit to Coastal Physicians will require you to provide
us with information to create your patient record. We will need you to fill
out a form that gives the doctor necessary details regarding your address,
phone number, date of birth, social security number, occupation, emergency
contact and referring physician. Our staff will assist you as needed and all
the information you provide to us will be kept confidential.
INSURANCE
We will submit the fees for your office visit to your insurance carrier(s)
for reimbursement on your behalf and continue to follow up until all of the
benefits you are entitled to get paid. All deductibles and any non-covered
portion of your bill will then be your responsibility.
Your co-pay (if applicable) is due the same day the services are rendered.
Information you will need to provide for us:
* Type of insurance
Insurance company name (please bring your card)
Policy & group numbers (if not shown on card)
* Mailing address to submit claims
* For Worker's Compensation, we will need your employer's phone number
* If your insurance is a managed care product, you may need to bring a
referral from your family doctor before our physicians can see you. If you
are not sure you need a referral, you should call your insurance company
and they will tell you what is required by your benefit plan.
PRESCRIPTIONS
Medication may be prescribed as part of your treatment plan. It would be
very helpful if you know the phone number of your pharmacy. When you need to
call our office regarding refills please call during regular office hours
so, we can refer to your chart. Our office hours are 8:30 am to 5:30pm,
Monday through Friday.
APPOINTMENTS
We will do our best to accommodate your schedule when making your
appointments and we will appreciate you arriving on time. Our staff will
make every effort to have the doctor see you as scheduled, if an emergency
does occur; we will inform you as far in advance as possible. If you need to
cancel, please call as soon as possible to reschedule, this will enable us
to bring in another patient needing to see one of our doctors.
|