Patient policies

What to expect,
before you arrive.

TIME is dedicated to offering you the highest level of service available anywhere. In order to manage our workload we need to follow guidelines with all of our patients. Please read these and tell us about any special provisions that may apply to your situation.

01

Payments

All applicable fees, deductibles, coinsurance, or co-pays must be paid at the time of your appointment. We accept cash, and most major credit cards i.e. Visa and MasterCard.

Due at time of visit

02

Insurance

Please understand that having insurance is not a guarantee of payment. TIME will bill your insurance as a courtesy to you, however, due to the vast differences in policies and insurance companies any balance not paid will be your responsibility. We strive to verify benefits prior to your visit so that we may explain the coverage your policy offers and what your requirements are. If you have any questions regarding insurance payments please contact your insurance company or policy representative FIRST, then call our office.

03

Cancellations

If you need to cancel your appointment, be sure to call or text us at least 24 hours before your scheduled appointment.

We will charge $50.00 for any missed appointment not cancelled in advance. This fee must be paid on your next visit. No exceptions.

24 hours’ notice$50 missed-appointment fee

04

Appointment time

We ask that our patients arrive on time for their appointments; this will facilitate our ability to see you as scheduled. In an effort to serve all our patients well, patients arriving 15 minutes past their appointment time will be rescheduled.

15 minutes late = rescheduled

05

Referrals

If your policy requires written authorization from your Primary Care Physician, we will request authorization, in advance. This is done as a courtesy for our patients; however, we cannot guarantee authorization will be granted. Please keep in contact with your physician to ensure your visit is pre-approved, to avoid having to make payment in full.

06

Change of information

Please provide us with any change regarding your address, phone number or insurance information as soon as possible. Change of insurance will require the completion of a new Patient Information Form and may not be changed over the telephone.

07

Medication refill requests

Please contact your pharmacy first. They will call our office for authorization of the refill.

Contact your pharmacy first

08

Medical record copy requests

Requests for copies of your medical records must be made in writing. Our office will respond within 15 business days to a properly completed written request. We cannot give copies of any x-rays or diagnostic imaging.

Fees: We charge a flat rate of $35.00 per record. Copies of medical records will be retained until payment is received, unless requested by a licensed health care provider.

Requests in writing15 business days$35.00 per record

09

Cellular phone usage

As a courtesy to the doctor please turn off your phones while you are in the exam rooms. The doctor gives you his undivided attention while in the room. We ask the same from you.

Questions about
any of this?

Call the office and we will walk you through it before your visit.