Office Policies

 

office policies

Refill Requests

Please allow 3 working days for refill requests to be processed. Please remind us about any refill requests at your visits.

Referral Requests

Please allow 2 weeks for non-urgent referral requests.

Form Completion

Please allow 5 days for form completion. And note that there may be a fee associated.

No-show Policy

Patients who do not keep their appointments deprive others of an opportunity to see their doctor. Please call us as soon as you know that you will not be able to keep an appointment, so that we can offer that time to another patient who needs it. If more than 3 appointments are missed without notification, the practice reserves the right to dismiss the patient.

Walk in appointments

In an attempt to keep our wait times down, we do not accept walk-in appointments. However we make every attempt possible to see our sick patients when you need us; please call the office or log in to the Patient Portal to schedule a same day sick appointment.

Alabama Sports Physical

Our office provides a physical evaluation form at every well visit. If you have additional forms requiring completion, such as the Alabama High School Athletic Association form, please bring them to those visits. In general, if we have seen your child within the previous calendar year for a complete physical, we are able to complete school or sports forms. If you misplace or need an additional copy of your child’s health appraisal, please allow 2 days for completion and we may request a $5.00 fee.

Financial Policies

Insurance

We file most major insurance companies. Please contact your insurance carrier to verify if we participate in your group plan. It is the member’s responsibility to verify we have correct insurance on file.

Financial Policy

Professional fees are due at the time service is rendered. This includes co-pays and any payment for non-covered services. There is a $30.00 fee for all returned checks.

If more than 3 appointments are missed without notification, the practice reserves the right to dismiss the patient.

Please notify our office manager immediately if you need to make special financial arrangements for your payment of an account. Accounts delinquent for more than 90 days may be sent to our attorney for collection, and any costs incurred thereby will be the responsibility of the patient (parent of responsible party). If your account is turned over for collection, we may no longer continue to provide medical care for your child.

Please notify us immediately if your insurance has changed, so that we may make certain your claims are sent to the correct company.

Credit Card on File Policy

We require all parents to leave a credit card number on file with our office. The card number will not be stored on our computer servers, rather encrypted off site at Navicure’s Secure Data Centers.  You can be assured your information is secure.  The card will be used as a convenient solution to paying your account balance, and the card will be charged when your insurance company returns with your patient responsibility.

Non-custodial parents/Divorced parents/ Guardians

The person who brings the patient for his/her appointments are responsible for payment/copayment at the time of service. We will provide documentation of charges to either parent upon receipt of written authorization.

Form Fees

We may not always charge a fee to complete a form, but please understand that multiple request for a form(s) could result in a fee being charged.

  • Blue Slip: $3
  • Sports Physical: $5
  • Day Care: $5
  • FMLA: $15
  • Other: $5
Untitled-1 Patient PortalUntitled-2 Dosage Chart Registration Process New Patient Forms