Physician's Checklist
Thank you for choosing Saint Anthony's Physician Group to meet your health care needs. We value and appreciate the trust you are placing in us and look forward to a mutually satisfying relationship. To make your visit the very best it can be, please review this check list of information prior to your scheduled appointment.
APPOINTMENTS:
We make every effort to accommodate patient needs and to be on time for all patient appointments. However, patients often have critical or immediate needs which can cause your physician to be delayed for your appointment. We ask for your patience as your needs will be given the same priority as has been given to other patients. In order to expedite patient visits, it is helpful to arrive prepared with a list of problems and questions for your Physician.
Please arrive early. Patients arriving late may be asked to reschedule.
Please Bring the Following With You to Your Appointment:
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- Completed “Pre-Physical History” Form
- Completed “PHI” Form
- All medications in their original containers
- Insurance cards
- Applicable co-pays due day of service
- Driver’s license or other Government-issued ID
- List of problems and questions for your Physician
- Copy of Advance Directives, Living Will, or Healthcare Power of Attorney, and Do Not Resuscitate Instructions
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PAYMENT POLICIES:
Co-pays, if required, and payment in full of any outstanding balance on your account which has been identified as your responsibility, are expected at the time of service. There could be a charge for broken or missed appointments without 24 hour notice, for copies of medical records for any non-physician recipient or for returned checks. If you cannot provide current insurance information, you will be required to pay in full for that day’s services. If you qualify for financial assistance, a payment plan may be implemented at the discretion of the physician and the business office. Otherwise, your office visit may have to be re-scheduled.
CANCELLATIONS:
A fee may be charged if you miss an appointment without providing reasonable notification. Missing three appointments without notification can be cause for dismissal from the group.
NEW PATIENTS:
Initial examinations typically require more time than follow up visits therefore, please allow up to one hour. Fasting for 12 hours prior to your visit is recommended, in case any lab work is needed. Patients over the age of 14 are accepted for appointments. In order to expedite your initial appointment, please complete the “Pre-Physical History” Form and “Protected Health Information” Form and bring them both with you on the day of your appointment.
MEDICATIONS:
Please bring all your medications in their original containers with you to your initial visit. Your physician will also provide you with directions regarding bringing medications to future visits. Pain medications, especially Narcotic medications, will be called in at the discretion of the covering Physician, and will only be called in for the amount needed until the next available appointment. We ask that you plan ahead and not wait until you run out to call for your refill. All calls for refill requests should be directed to your pharmacy. Do not call the office for prescription refills as this will delay your refill requests.
MEDICAL CONCERNS:
Patients often have multiple concerns they wish to discuss. It is our desire to discuss all of your concerns fully, but this may not be possible, with the time allotted. To this end, please address your most pressing concern first and then discuss your other needs as time allows. If you have multiple complex concerns, or problems that have arisen since your appointment was scheduled, you may need to schedule another visit to address them all fully.
HOSPITAL CARE:
As with most of the other Physicians in the area, many of our Physicians use well trained Inpatient Specialists to care for patients who need hospital care. Close communication is maintained between you, your regular physician, and the “Hospitalist”. Because of the ease in communication and close proximity to Saint Anthony’s Health Center, we ask that you please consider Saint Anthony’s first for all your hospital needs, including visits to the Emergency Department. Taking all your medications in their original containers with you to the ER is advised, since the ER Physician will not know your history.
PRIVACY:
Maintaining your privacy is important to us. We are legally required to protect the privacy of your health information pursuant to the privacy and security provisions of The Health Insurance Portability and Accountability Act of 1996 (“HIPAA”). Please see our notice of privacy practices included with this brochure. We will not disclose your personal protected health information without your permission. We will ask you to identify those to whom your information can be released. Please complete the “Protected Health Information” Form and bring it with you to your initial appointment.