Patient Information

For New and Existing Patients

Our goal is to provide you and your loved ones with quality care and service. That’s why our friendly staff works to minimize paperwork and increase conveniences. Below is a list of online resources to prepare for your visit to our practice.
 

New Patient Information

Download New Patient Forms Here

 

Welcome
Welcome to our practice. We appreciate the opportunity to serve your health care needs. The following information is intended to provide a brief overview of our practice’s policies and procedures, from scheduling your appointment to billing. You may also contact our office staff by phone during regular business hours and we will be happy to answer your questions.

Appointments
  • Patients are seen at scheduled appointment times.
  • All new patients should arrive 30 minutes prior to your first visit to complete the necessary paperwork before your scheduled appointment time.
  • It is important to arrive on time for your visit, so if you will be late, please call our office.
  • If you are more than 15 minutes late, your appointment may be rescheduled.
  • If you are unable to keep your appointment, please call the office as soon as possible to cancel your appointment.

Billing Information

Financial Responsibilities
The financial policy set forth is to expect payment for your services at the time your services are rendered. Co-payments and balance dues are expected to be paid at the time of service. We accept cash, checks and major credit cards. As a courtesy to you, we will complete your insurance claim for you. Insurance claims for obstetrical care are filled after your delivery and include your initial visit. Most major insurances, Medicaid and Medicare are accepted. We will provide insurance claim filing for the insurance plans that we participate in. If there is a balance due after payment is rendered by the insurance company, we will expect your prompt payment of that balance.

Patient's Responsibilities
It is the patient’s responsibility to provide us with current insurance plan information prior to services rendered in order for accurate billing of services to be filed. As a health care provider, our relationship is with our patients and as a team; we will continuously follow up on outstanding claims. At times, we may require your intervention to assist us and we appreciate your assistance to us in this regard.

We accept Master Card, VISA, Discover, American Express, checks and cash as payment for services rendered. Some DCOL providers accept workers’ compensation insurance, when properly verified in advance of the appointment. Please inquire prior to your appointment if the provider you are seeing accepts workers compensation. If your workers’ compensation claim is later found to be non-compensable and is finally adjudicated by the Texas Department of Insurance - Workers’ Compensation Division, you will be responsible for your bill in full. If your employer is self-insured and fails to pay your workers’ compensation bill in full, you will be held responsible for the balance of the bill. For work-related injuries, please be advised that we may be required to release information regarding your injury to your employer. We file motor vehicle and liability insurance claims as a courtesy. Payment not received within 90 days from your third party liability insurance carrier will become the patient’s responsibility and is subject to all standard collection policies if not paid within the requested timeframe.

We strive to offer our patients quality medical care and assist the patient to receive maximum benefit from their insurance plan.

Accepted Insurance

Patient's Responsibilities
We accept almost all major insurance plans including Medicare and Medicaid. Please bring your insurance card with you so that we can make a copy for your medical record. If you have a change in insurance, address or phone number, be sure to notify the receptionist so that the change can be entered into our system.

We will bill all insurance carriers for services rendered, but we ask that all co-payments and applied deductibles be paid at the time of service. Payment is required at the time service is rendered for all private-pay patients unless otherwise arranged with the office administrator. If there is a balance due after payment is rendered by your insurance company, we will expect your prompt payment of that balance.

We accept all major credit cards for payment, such as American Express, Discover, Visa and Mastercard. All balances are expected to be paid at the time of service.

If you have any questions please call (903) 757-6042.

Patient Policies

Cancellations
Please call the office 24 hours in advance to cancel appointments.
Late Policy
We are committed to prompt service, and will work very hard, barring emergencies, to stay on time. We may ask you to reschedule if you arrive for your appointment more than 10 minutes after your scheduled appointment. Please arrive 10 to 15 minutes early for an appointment to complete any paperwork associated with your visit.
Referrals
You should call the office at least three (3) days before the appointment to give us the information needed to complete the referral. That information includes: your name, the physician you are being referred to, his phone and fax numbers, the date of the appointment, the diagnosis for the referral, your insurance, whether it is for a visit or a specific procedure (such as surgery), and where it is going to be performed (office or hospital). We do not mail referrals to specialists.

You should familiarize yourself with your insurance plan, and determine if it requires you to take a referral with you. If you are not certain of how your referral is handled, please ask any office staff and they will help you to determine what to do.
Emergencies and On Call
If you have an emergency, such as chest pain, severe shortness of breath, severe headache, or bleeding, call 911 or proceed directly to the nearest hospital emergency room. You can always call the office with any questions about acute medical problems after hours and our answering system will page the physician on call. If the doctor on call does not return your call within 30 minutes, please recall the office.
Records Releases
Please complete a records release form to obtain your medical records from your previous family physician and any specialists you may be consulting. Our practice privacy policy is available at the office for your review.
Prescriptions
Please allow 24 hours for prescription refills. If you call on Friday, the prescription will be ready the following Monday. When you call, you may be asked to leave a message in the prescription voice mailbox. Always leave your full name, date of birth, name of the medicine(s), your phone number, and the name of your preferred pharmacy.