A parent or guardian should accompany anyone under the age of 19 whenever possible. If unable to attend, we do need permission for treatment. We also encourage parent or guardian to be available by phone if not attending. Our practice does provide an appointment reminder the day before your scheduled appointment. You have the option to receive this reminder by call or text.
The parent(s) or guardian(s) is responsible for full payment and will receive the billing statements. A signed release to treat may be required for unaccompanied minors.
We value our patients and their time which is why our providers try to stay on time with their schedules, therefore it is very important for patients to arrive before or at their scheduled appointment time. When patients arrive after their appointment time this creates problems for the appointments following. We ask all ESTABLISHED patients to arrive no later than their scheduled appointment time and all NEW patients arrive 30 minutes prior to your scheduled appointment time. If you are delayed, please contact the office. Patients arriving 10 minutes past their scheduled appointment time may be asked to reschedule.
A No Show is when a patient does not show up for their scheduled appointment or notifying us they will not be attending their appointment. A Late Cancellation is when a patient notifies the office less than an hour before, at their scheduled time, or after their appointment time. This policy applies to 12 consecutive months.
- 1st Occurrence- results in a reminder of our No Show/Late Cancellation Policy
- 2nd Occurrence- results in a Warning Letter and a reminder of our No Show/Late Cancellation Policy
- 3rd Occurrence- may result in Dismissal from our office.
*Suboxone Program appointments are subject to No Show/Late Cancellation fees and those fees due before further appointments are made.
If the office closes you should receive a call or text message informing you of the closure.
If LPS closes due to snow, our office will open at 10 am. Anytime weather conditions are not favorable please contact the office to confirm.
Our office strives to provide you will the best care we can, in a timely and cost-effective manner with every effort to minimize waiting time. We will return your call as quickly as possible, take adequate time to understand the conditions, and arrange for referrals and testing. Please understand that some matters take time to review and discuss with providers so please allow us time for this.
Normal Response Time follows:
- Patient Phone Calls- calls after 3 PM may not be returned same day. 24 hours depending on issue.
- Refills- 24 to 48 hours
- Results- 24 to 48 hours once provider has received and signed off.
- Referral- 48 hours or depending on urgency of referral.
Most forms will require an appointment to document the current updated information. If we don’t request an appointment, a fee might be charged for completion. Fees can vary as it is based on what information is requested and the time involved for completion. These fees are the patients’ responsibility and will not be billed to insurance.
We will provide a patient with a copy of their medical record with a signed release. A fee of $20 plus $0.50 per page will be assessed. That amount will need to be paid prior to release. We will transfer a patient’s medical record at no charge to other medical providers for the complete transfer of care or for continuity of care. We will require a signed release for the complete transfer. For medical record copies, please allow up to 5 business days. Transfer of care or continuity of care records will be done based on the priority of need.
Our office fully complies with HIPPA and our policy is included in our New Patient packet as well as available online or in office as requested.
In order to provide security to our staff and patients, a patient does not have direct access to the back office. If you need to use the restroom or water fountain please notify our front office assistant and she will allow you access.
In order to keep our office looking clean; as well as many of times we have patients who are ill, we do not allow patients to bring drinks or food into the back office or exam rooms. Also, as posted on the front door, there is neither smoking nor e-cigarettes in the building or on campus.
Cell phones can be distracting so we ask that once you are called into the back office that you silence and put your cell phone away.
You understand and agree that any cellular, land line phone numbers, and email addresses provided by yourself to this office and to any of our services providers, now and in the future, may be used as a means to contact you. The office and any coordinating providers may leave voice messages, texts, or emails by means of contacting you. In the future, should you acquire a new or different cellular, landline or email address, you understand it is your responsibility to update your office with that information and this consent would stay effective.
These policies help the office provide quality care to our valued patients.
If you have any questions or need clarification of any of the above policies, please feel free to contact us.
I agree to abide by the policies of the office and understand that if I do not, I may be asked to seek care elsewhere.
Acknowledgement Signature Required on Demographic Form.
East Lincoln Family Health Professionals, PC. RESERVES THE RIGHT TO CHANGE AND/OR MODIFY THE INFORMATION ON THIS SITE AT ANY TIME.