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Providence Family Medicine Center provides health care needs for all ages from newborn to geriatric care, including care through pregnancy and delivery.
Patient Pre-Registration
To make sure PFMC has current patient information, patients will be asked to fill out a brief demographic sheet at each visit. This will assist us in meeting your medical needs.
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Social Security Number |
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Personal Information (name, physical and mailing address, and phone numbers) |
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Guardian information (if necessary) |
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Reason for visit (i.e. regular medical visit, workman’s compensation, motor vehicle accident) |
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Employment information (if currently employed) |
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Current insurance information (Medicaid, Medicare, BCHC and other insurances accepted). If you do not have insurance, ask about our other financial options (sliding fee). |
First Visit
Please arrive 20 minutes prior to appointment time and bring the following items to your first appointment:
• Any pertinent medical information
• Current medications
• Copy of insurance card (required for each visit)
The front desk will ask you what type of appointment you are here for. You may have to fill out additional paperwork. Payment will be expected at the time of service (co-pays, sliding fee, etc.)
Appointments & Scheduling
To make an appointment, please call 3-4 weeks in advance at 562-9229. A scheduled appointment will reduce the waiting time. Patients have the option to see any health care provider based on availability. If your primary health care provider is not available, an appointment will be scheduled with another provider. It’s important to arrive 10 minutes prior to your appointment time if you’re an established patient to secure your scheduled appointment and to allow time for registration at the front desk.
Same-Day Appointments
Same-day appointments are available for patients who need to see a health care provider on an urgent basis. To make a same-day appointment, please call after 2:00 P.M. the day prior to the appointment or the morning of the appointment. These appointments are filled on first-come, first-serve basis.
Late Patients
New patients are considered late if they don’t arrive 20 minutes prior to the appointment time. Established patients are late if they are not here 10 minutes prior to the appointment time. Late patients will lose their appointment time. A new appointment time can be made the same day based on availability, but the same provider cannot be guaranteed.
No Shows
To cancel an appointment, be sure to give PFMC 24-hours notice. Failure to notify within 24 hours prior to your appointment is considered a “No Show.” After five documented “No Show” appointments, patients will no longer be able to make appointments in advance. These patients will only be eligible to make a same-day appointment.
Prescriptions
To provide you with the best care, make sure to bring in all medications that are prescribed by all providers, over the counter medicine, and herbal supplements. This helps us anticipate any drug interaction and prescribe the correct dosages.
Prescriptions Refills
Please plan accordingly for prescription refills and call your pharmacy several days before your medication runs out. The pharmacy will fax over a refill request. It will take three business days to process prescription refills (by PFMC and your pharmacy) and refill requests are not accepted over the phone. If it’s been several months since your last appointment, you may be asked to make an appointment to refill your prescription. If a new prescription is required, your pharmacy will notify us and your provider will either fax the prescription to the pharmacy or call you to set up an appointment.
Medical Records
To request a copy of your medical record, you will need to sign a release of information and indicate the specific information you are requesting. Payment is due at the time of request: $15 for 1-50 pages, $30 for 51-100 pages, and $45 for 101-150. The turnaround time is a maximum of 30 days. Medical Records will contact you when the records are ready to pick up. A physician’s office can request a copy of your medical records at no charge.
Insurance/Payment Information
As a courtesy, claims will be directly submitted to your insurance carriers. Check your insurance plan booklet for participating providers. It is your responsibility to contact your insurance company to find out if your deductible has been met for the calendar year, and what your co-pay is (percent you pay). Patients are responsible for deductibles and co-pays at the time of service.
PFMC has a Sliding Fee Program that provides reduced rates for qualified individuals. Various rates are available based on your household size and income. Sliding Fee applications are available at the front desk. They need to be completed with all required financial information and submitted within 10 working days of your visit to qualify for a reduced rate.
Billing Questions
Make sure to review your statements carefully. If you have questions, please call our Billing Department at 273-9390 or our Sliding Fee Specialist at 273-9371.
On Call Coverage/Emergency
A health care provider is on call 24 hours a day. Dial the main number to connect with the answering service. Calls should only be for urgent medical concerns after business hours. If you have a life threatening emergency at any time, call 911
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HEALTH INTERACTIVES
