Patient Responsibilities. In order to protect the privacy of confidential information and to ensure that communications are properly routed, the Patient has the responsibility to: • Limit or avoid use of public computers and public networks; • Promptly inform INTEGRATE INTERNAL MEDICINE of changes in your email address or telephone number; • Ensure that any email or text is addressed to the intended recipient before sending; • List the key topic in the email subject line; • Put your name in the body of the email or text.
Patient Responsibilities. As conditions to membership, and without waiving any other obligation or condition listed elsewhere in this Agreement, Patient agrees to the following:
Patient Responsibilities i. Patient shall make all payments to YPMD in the form of Master Card, Visa, Check, or other forms previously approved by YPMD. Patient shall ensure that their account with YPMD is current or that they are willing to make current at the time of any office visit.
Patient Responsibilities. In the event that your health plan determines a service is not covered, you will be responsible for the services performed. If we are unable to verify your insurance is active and valid, you will be responsible for charges at the time of service or you are welcome to reschedule. The physicians and mid-level practitioners will be unable to change their “normal course of treatment” due to non-covered service limitations of your insurance benefits. Payment for non-covered services will be due at the time of service or upon receipt of a statement from our office. Statement balances must be paid within thirty days to avoid your account being placed on hold. If an account goes past 180 days past due, it will go to collection for processing. A collection fee (30% of the outstanding balance) will be assessed. PAYMENT ARRANGMENTS: Patients with an outstanding balance of 30 days overdue must make arrangements for payment prior to scheduling appointments. We truly realize that people have financial difficulties. Payment plans must be set up by the patient in person and will automatically deducted by credit/debit card on agreed date. If patient defaults in the agreed to payment arrangement, this will void the payment arrangement and the account will be placed on hold and sent to collection for processing. Please see office manager to make arrangements. REFUNDS: Refunds will be issued to accounts that have been finalized or paid completely by insurance company and to patients who do not have future appointments already scheduled. Accounts with less than $20.00 will be used towards the patient's next visit (except BCBS policies) unless the refund is requested by the patient. Refunds are issued once a month to the insured member.
Patient Responsibilities. (a) On the Effective Date, Patient shall pay NU House Calls an enrollment fee, in the amount of $1,000.00 (“Enrollment Fee”), which shall entitle Patient to receive the Services during the term of this Agreement, subject to the terms and conditions hereof.
Patient Responsibilities. ⮚ The patient has the responsibility to provide accurate and complete information concerning his/her present complaints, past illnesses, hospitalizations, medications (including over the counter products and dietary supplements or prescriptions), allergies and sensitivities and other matters relating to his/her health. ⮚ The patient is responsible for keeping appointments and for notifying the facility or physician when he/she is unable to do so. ⮚ The patient and family are responsible for asking questions when they do not understand what they have been told about the patient’s care or what they are expected to do. ⮚ The patient is responsible for following the treatment plan established by his/her physician, including the instructions of nurses and other health professionals as they carry out the physician's orders. ⮚ The patient is responsible for reporting to the health care provider any unexpected changes in his/her condition. ⮚ The patient is responsible for providing a responsible adult to transport him/her home from the facility and remain with him/her for 24 hours. ⮚ In the case of pediatric patients, a parent or guardian is to remain in the facility for the duration of the patient’s stay in the facility. ⮚ The patient is responsible for his/her actions should you refuse treatment or not follow your physician’s orders. ⮚ The patient is responsible for assuring that the financial obligations of his/her care are fulfilled prior to surgery or other services. ⮚ The patient is responsible for following facility policies and procedures. ⮚ The patient is responsible to inform the facility about the patient’s advance directives. ⮚ The patient is responsible for being considerate of the rights of other patients and facility personnel. ⮚ The patient is responsible for being respectful of his/her personal property and that of other persons in the facility.
Patient Responsibilities. As a patient you have the following responsibilities: · To recognize that the ECU School of Dental Medicine is an educational institution and that dental treatment will proceed at a slower pace than available in private practice. · To provide a reliable address, telephone number and/or email address where your assigned student, Patient Representative, or Patient Care Coordinator, may contact you and to keep them informed of any changes as treatment progresses. · To provide complete and accurate information about your medical and dental history and to inform your student dentist, resident or faculty of any changes in your health as treatment progresses. · To participate in discussions about your plan of care, ask questions, and to inform the student dentist, resident, or faculty if you do not understand proposed treatment. · To tell us if you accept or refuse your proposed dental care. · To pay for all services at the time treatment is rendered unless other arrangements have been made in advance through the Clinic Manager/Patient Account Specialist. Patients with dental insurance must pay their deductibles and estimated co-payment at the time of service. · To provide your current dental insurance card or verification of insurance eligibility at each appointment. · To be available at least twice each month for a three-four hour appointment to receive your dental treatment. · To have a parent/legal guardian present if the patient is under 18 years of age. · To make necessary arrangements for childcare as the school does not provide this service. Children are not allowed into the treatment areas except for their own appointments and may not be left unattended in the reception area or other areas of the school. · To be prompt for your scheduled appointments, stay for the entire time scheduled, and to provide at least 24 hours notice if you must cancel an appointment. You may be dismissed from the program if you are twice late for appointments (15 minutes after the appointment time), cancel with less than 24 hours notice, or do not show up for any scheduled appointment. · To follow recommended instructions given about oral hygiene and other aspects of your care by your student dentist, resident or faculty and tell us if you do not understand or cannot follow our instructions. · Understand that we will strive to do our best at all times, but sometimes some dental treatments are not successful, and no guarantees are promised. · Control your service dog at all time...
Patient Responsibilities. 4.1 The Patient agrees to: - Pay the membership fee on time. - Schedule appointments in advance and arrive on time for scheduled visits. - Notify the Clinic of any changes in contact information. - Adhere to the Clinic's policies and guidelines. pg. 1
Patient Responsibilities. To take the prescribed medication regularly unless advised by GP or specialist team To attend scheduled reviews with specialist team and for monitoring as detailed in this document Report any adverse effects to the specialist team or GP Share any concerns in relation to treatment Report to the specialist team or GP if they do not have a clear understanding of the treatment
Patient Responsibilities. To take the prescribed medication regularly unless advised by GP or specialist To attend scheduled reviews with specialist team and for monitoring as detailed in this document. Prescribing by GP will be stopped if patient does not attend regular review by the specialist team. Report any adverse effects to the consultant or GP Share any concerns in relation to treatment Report to the consultant or GP if they do not have a clear understanding of the treatment
