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713.650.1502

For our office to operate effectively and provide the best service to you and your family, we need your cooperation with the following policies. Your clear understanding of these policies is very important.

OFFICE HOURS

Our office is open Monday-Friday from 9:00 am to 5:00 pm. Patients are not scheduled from 12:00 pm through 1:00 pm for lunch. However, our phones remain open for messages and appointments scheduling. We are closed in observance of major holidays.

 

COURTESY

We strive to provide the best medical care for our patients. We therefore appreciate your understanding and patience. If you have any suggestion or complaint for our office, please let us know.

 

NEW PATIENTS

First time patients are asked to arrive 30 minutes early to allow adequate time for completing the initial paperwork. We ask that you bring us the latest relevant records with the most recent test results and current medications list.

 

CHANGES IN ADDRESS, BILLING, OR CONTACT INFORMATION

Please notify our office of any changes with address, telephone, billing or contact information. It is imperative that we have the most current information on file. You can also update your information via our Patient Portal by clicking here

 

INSURANCE POLICIES

We require proof of current insurance at check-in for every visit. It is essential that you provide all the necessary information about your insurance, both primary, secondary and, Part D prescription plan. Please be prepared to present your card(s) at each visit. It is YOUR RESPONSIBILITY to know your particular insurance plan benefits. We therefore cannot guarantee that all services and therapies we provide or recommend are covered by your insurance. We strongly encourage you to contact your insurance carrier ahead of time and verify appropriate coverage.

 

FEES & PAYMENTS

Payment in full is due at the time services are rendered unless we are submitting charges to your insurance company. Copays and deductibles are due at time of service or your appointment may be rescheduled. We accept Visa and Master cards. We also accept money orders, cashier/personal checks & cash. Those patients without proof of coverage may be required to pay in full or be asked to reschedule their appointments. If we are not contracted with your particular insurance plan, YOU must pay in full at time of service.

Billing your insurance does not necessarily ensure payment by the insurance company nor does it release the responsible party from its financial obligation to our office for any unpaid balance. In case of an insurance partial payment, the balance is due by YOU and we will send you a billing statement. Balances over 120 DAYS due may be sent to a collection agency unless other arrangements have been made.

 

APPOINTMENTS & NO SHOW POLICY

If you are unable to keep a scheduled appointment, please let us know 24 hours in advance. A NO SHOW is when a patient fails to keep a scheduled appointment. A NO SHOW will generate a $25 fee. In the event that you have a special circumstance regarding your missed appointment, please contact our office manager. We understand that there may be issues beyond your control and want to be understanding of special circumstances.

If you are delayed and cannot make an appointment on time, please call to advise us of your situation and provide an estimated time of arrival. Any significant delay may require the visit to be rescheduled.

 

PRESCRIPTION REFILLS

Please have your pharmacy fax your refill request to your designated office. In most cases, expired prescriptions can also be refilled in this manner, provided you are up to date on required exams and laboratory testing Please be aware that refills may take up to 24 to 48 hours to process, so please plan accordingly. Your refill request may be denied should you fail to comply with our policy.

 

TELEPHONE MESSAGES & PROCESSING OF REFERRALS

We will try our best to respond to your messages as soon as possible. However, please be aware that messages may take up to 24 HOURS to process and respond. More often than not, if your questions require extensive attention, your providers may elect to have you make an appointment and come for further evaluation for quality assurance purposes. Likewise, due to the nature of insurance-based healthcare, please also allow 48 to 72 HOURS to process your HMO specialist referrals.

 

MEDICAL RECORDS

Prevailing rules allow a doctor’s office to charge for the copy of the record in many instances and¬†defines a 15-working day period to provide the requested records.

All requests for medical records must be on a HIPPA approved form, which must be properly and completely filled out and signed by the patient or legal guardian.

Medical records released to a new provider, specialist or school: For continuity of care and as a courtesy to the patient, our office will forward records requested at no charge.

Medical records released to the patient, some insurance companies, law firm or miscellaneous requests: Records are subject to copying fees.

 

AFTER HOURS

When an EMERGENCY arises, and you need to get in touch with our on-call service, you may call our office at (713) 650-1502. You will be directed to our on-call service personnel, who will then provide you with appropriate instructions. As a reminder, this option should only be used for emergencies.

***Note: IN A LIFE THREATENING SITUATION, PLEASE CALL 911 IMMEDIATELY.

HOUSTON

1315 St. Joseph Parkway, Suite 1501

Houston, Texas 77002

P:713.650.1502

F:713.751.1633

NASSAU BAY

2020 Nasa Parkway, Suite 250

Nassau Bay, Texas 77058

P:281.957.9658

F:832.864.2251

Copyright ©2015 Gulf Coast Urology. All Rights Reserved.