Office Policies

Office Policies 2017-08-31T13:31:26-07:00

Office Policies

  • Date Format: MM slash DD slash YYYY
  • WE WOULD LIKE TO INFORM YOU OF OUR OFFICE POLICIES
  • No Show Policy
  • If you are unable to keep your scheduled appointment, please notify us 24 hours in advance. You may also reschedule your appointment at that time. Our no-show policy is as follows: a 24-hour notice is required. If you do not show for your scheduled appointment you (not your insurance company) will be charged $85.00 for the no-show. After the 3rd no show, you will be discharged from the practice. A letter will be sent out discharging you from the practice and giving you 30 days to enroll with a new physician. Persistently not attending for scheduled appointments without notifying the practice may also result in a suspension from AHCCCS (Medicaid) medical insurance.
  • NON-PAYMENT
  • If you should fail to make payment on your account, and we find it necessary to turn your account over to a collection agency; the cost of collection (30%) will be applied to your balance.
  • Medical Record Policy
  • Each patient has a complete record of all medical care received at our office. Your personal medical record provides a history of treatment, medication, and diagnostic information that enables your health care team to make comprehensive medical evaluations. We consider your record to be confidential. Therefore, information will not be released without your written consent, unless required by law. Copies of your medical record will be released to you or transferred to another physician upon written consent. There will be a $25 - $50 copying fee for this service.
  • Completion of Forms (Worker compensation, FMLA etc.)
  • A $25-50 charge will be assessed for the completion of forms outside of an office visit. The charge varies on the length of the form and the time taken to complete.
  • Preventative Policy
  • GB Family Care is very proud to implement standardized preventative services to our patients. We strongly believe in preventative guidelines that have been shown to keep our patients healthy and live longer. Curtain test are required depending on the age, sex, risk factor and are strongly recommended by your insurance. Failure to comply with these tests will be considered as non-compliant and at risk of Discharge from GB Family Care.
  • Should you have any questions, our medical director would gladly address all your concerns.
  • I have reviewed the above policy.
  • Date Format: MM slash DD slash YYYY