Patient Policies
Our goal is to provide all patients with high quality health care in a manner that clearly recognizes an individual’s needs and rights.
Reminder: All patients should bring a printed list of their their current medications and dosage to every visit.
The Patient and Practice Relationship and Code of Conduct
We also recognize that in order to accomplish this goal effectively, the patient and the health care provider must work together to develop and maintain optimum health. As a result, the following patient rights and responsibilities are shared.
AS A PATIENT YOU SHOULD EXPECT
- To receive considerate care that is respectful of your personal beliefs and cultural and spiritual values.
- To have all things explained to you in terms that you can understand and to have any questions answered concerning your diagnosis, prognosis, and treatment.
- To appropriate assessment and management of your symptoms, including pain.
- To know the contents of your medical records through interpretation by the provider.
- To know who it is that is interviewing and examining you.
- To have explained to you ways that you can prevent your medical problem from recurring.
- To refuse to be examined or treated by health practitioners and to be informed of the consequence of such decisions.
- To be assured of the confidential treatment of disclosures and records and to have the opportunity to approve or refuse the release of such information except when release of specific information is required by law or is necessary to safeguard you or the community.
- To participate in the consideration of ethical issues that arise in the provision of your care.
AS A PATIENT YOU HAVE THE RESPONSIBILITY
- To provide Pulse MDs with information about your current symptoms, including pain.
- To provide Pulse MDs with information about past illnesses, hospitalizations and medications.
- To ask questions if you do not understand the directions or treatment being given by a provider.
- To keep appointments or telephone the office at least 24 hours ahead if you need to cancel.
- To be respectful of others and others’ property while in our facility.
- To keep an up-to-date list of all medications, and to contact the office if there are any changes. To monitor prescription refill status and to initiate the refill process with a minimum of one week of medication remaining
- To treat all staff members with common courtesy whether in office or through other means of communication.
FINANCIAL POLICY
- As a courtesy, we will file your primary and secondary insurance. It is your responsibility to make sure that your insurance company has your most recent address and contact information, and that we have the most recent insurance information for you.
- We are required to make a copy of your insurance cards for verification purposes, so please be sure to bring your cards and a government-issued photo ID to each visit.
- It is your responsibility to pay your deductible, co-payment and non-covered service fees at the time of service. For your convenience, we accept cash, checks, and Visa, Mastercard and American Express credit cards. There is a $25 charge on all returned checks.
- Should you miss your appointment or cancel less than 24 hours prior to a scheduled appointment, there will be a service charge of $25 charge.
- Questions regarding the amount your insurance paid to our office must be directed to your insurance company as they are the ones who have the specifics on coverage. If payment is not received within 30 days of the filing date with your insurance, you will be responsible for paying those charges, and will need to seek reimbursement directly with your insurance company.
- Should your care require outside testing, you will be responsible for payment to those providers, and providing your insurance information to them for payment.
- Should you require completion of forms for any reason (FMLA, Workers’ Compensation, etc.) there is a $25 charge. In addition, please allow for 72 business hours for form completion. Payment due prior to release of forms.
- I understand that if I have now or in the future any form of Power of Attorney with regard to my medical care, I will need to provide a copy of the document to Pulse MD before they can allow the individual named within to act in my place.
