No Wait or Minimal Wait Appointments. Reasonable effort shall be made to assure that Patient is seen by the Physician immediately upon arriving for a scheduled office visit or after only a minimal wait. If Physician foresees a minimal wait time, Patient shall be contacted and advised of the projected wait time.
No Wait or Minimal Wait Appointments. Reasonable effort shall be made to assure that patient is seen by the dentist immediately upon arriving for a scheduled office visit or after only a minimal wait.
No Wait or Minimal Wait Appointments. Patient shall be seen by the Physician immediately upon arriving for a scheduled office visit or after only a minimal wait. If Physician foresees more than a minimal wait time, Patient shall be contacted in advance and advised of the projected wait time. Patient shall have the option to arrive at the later projected time or reschedule the visit at a time convenient to the Patient. • Same Day/Next Day Appointments. When the Patient contacts the Practice prior to 10 AM on a regular office day (Monday through Friday) with an urgent need, the Patient shall be scheduled for a visit on that same day. Or, if this is not possible, Patient shall be given an appointment for the next regular office day.
No Wait or Minimal Wait Appointments. Every effort shall be made to assure that You are seen immediately upon arriving for a scheduled office visit or after only a minimal wait. If FCIM foresees a minimal wait time, You may be contacted and advised of the projected wait time.
No Wait or Minimal Wait Appointments. Reasonable effort shall be made to assure that Patient is seen by the Physician at the scheduled time. If Physician foresees more than a minimal delay, Patient shall be contacted and advised of Physician’s projected arrival time. Patient will then have the option to keep the appointment or reschedule the visit at Patient’s convenience. ● Same or Next Day Appointments. Reasonable effort shall be made to accommodate Patient for same or next day appointments, but cannot guarantee availability, and cannot guarantee that the patient will not need to seek treatment in an urgent care or emergency department setting.
No Wait or Minimal Wait Appointments. Every reasonable effort shall be made to assure that the Patient is seen by the physician immediately upon arriving for a scheduled office visit or after only a minimal wait. If physician foresees more than a minimal wait time, Patient shall be contacted and advised of the projected wait time. Patient shall then have the option of seeing the physician at the later time or reschedule at a time convenient to the Patient. • Telehealth. Telehealth (virtual visits) will be available when desired and deemed appropriate by the Patient and physician.
No Wait or Minimal Wait Appointments. Reasonable effort shall be made to assure that Patient is seen by the Physician immediately upon arriving for a scheduled office visit or after only a minimal wait. In the unusual event that the Physician foresees a more than minimal wait time, the Patient shall be advised and given the option to come at the later time or reschedule the appointment. Same Day/Next Day Appointments. Subject to the limitations of paragraph 14, if the Patient calls or emails the Physician prior to noon on a regular office day to schedule a same day appointment, every reasonable effort shall be made to accommodate the Patient. If same- day visit is not possible, the Patient shall be seen on following regularly scheduled office day. Specialists Coordination. The Practice shall coordinate with medical specialists to whom Patient is referred to assist Patient in obtaining specialty care. 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 Physician. APPENDIX B PATIENT ENROLLMENT FORM Check yes where indicated only if you agree to text message communication and provide email address only if you agree to email communication. your signature indicates acceptence of the terms of the patient agreement. 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 1 Print Patient Name Date of Birth Street Address City, State, Zip Work Phone Cell or Home Phone Email Agree to Text (check one) Communication: YES NO Signature: Patient 2 Patient Name Date of Birth Street Address City, State, Zip Work Phone Cell or Home Phone Email Agree to Text (check one) Communication: YES NO Signature APPENDIX C
No Wait or Minimal Wait Appointments. Effort shall be made to assure that Client is seen by the Provider immediately upon arriving for a scheduled office visit or after only a minimal wait.
No Wait or Minimal Wait Appointments. Patient shall be seen by their provider immediately upon arriving for a scheduled office visit or after only a minimal wait. If the provider foresees more than a minimal wait time, Patient shall be contacted in advance and advised of the projected wait time. Patient shall have the option to arrive at the later projected time, or reschedule the visit at a time convenient to the Patient. • Same Day/Next Day Appointments. Subject to the limitations of Paragraph 15 of this Agreement, when Patient contacts the Practice prior to 10AM on a regular office day (Monday through Friday), with an urgent need, the Patient shall be scheduled for a visit on that same day. Or if this is not possible, Patient shall be scheduled for the next regular office day. • Specialists Coordination. Your provider shall coordinate care with Patient’s medical specialists and offer guidance for referrals if requested. Patient understands that fees paid under this Agreement do not include specialist’s fees or fees of any other medical professional other than the Practice staff. Such fees are the Patient’s responsibility. APPENDIX B FEE ITEMIZATION Monthly Membership Fee • 12– 18 years of age $ 19 per month • 19-39 years of age $ 49 per month • 40-59 years of age $ 69 per month
No Wait or Minimal Wait Appointments. Every effort shall be made to assure that MEMBER is seen by the PHYSICIAN immediately upon arriving for a scheduled office visit or after only a minimal wait.
