Common use of Timely Appointments Clause in Contracts

Timely Appointments. All reasonable efforts shall be made to assure that the Patient is seen promptly at the scheduled time. If the Physician foresees more than a minimal delay, You shall be contacted and advised of the projected delay time and shall have the option of rescheduling at a time convenient for You. • Same Day/Next Day Appointments. Every reasonable effort shall be made to accommodate same or next day appointments when necessary and requested. • Specialists Coordination. The Physician shall coordinate care with medical specialists and other practitioners to whom Patient is referred. Patient understands that fees paid under this Agreement do not include and do not cover specialist's fees or fees due to any medical professional other than the Practice staff. THE FEES AS SET OUT IN THE ATTACHED APPENDIX C, SHALL APPLY TO THE FOLLOWING PATIENT(S), WHO BY SIGNING BELOW (OR AS PARENT OR LEGAL GUARDIAN), CERTIFY THAT THEY HAVE READ AND AGREE TO THE TERMS AND CONDITIONS OF THIS AGREEMENT: Patient Name ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇, ▇▇▇▇▇, ▇▇▇ ▇▇▇▇ Phone Cell/Home Phone Email Agree to Text Communication: (check one below) Yes No Signature: _ Patient Name Work Phone Cell/Home Phone Email Agree to Text Communication: (check one below) Yes No Signature: _ PRINT NAME DATE OF BIRTH MM DD YYYY PRINT NAME DATE OF BIRTH MM DD YYYY PRINT NAME DATE OF BIRTH MM DD YYYY PRINT NAME DATE OF BIRTH MM DD YYYY I AGREE TO TEXT MESSAGE COMMUNICATION IN REGARD TO THE ABOVE NAMED MINORS. (CHECK ONE BELOW) Yes No PARENT/GUARDIAN SIGNATURE: PRINTED NAME: REALTIONSHIP TO MINOR: DATE: Individual $ 50. 2 or more Members in Same Household 100.

Appears in 2 contracts

Sources: Patient Agreement, Patient Agreement