To make sure your appointment goes smoothly from the start, read through our policies and fill out any needed forms before you come in. If you have any questions, call us at (984) 207-9440.

 

Referrals for Your Appointment

Many health plans require a referral before a specialist can see you. Check with your health insurance company to see if you need one before you schedule your appointment.

If you need a referral, call your primary care doctor’s office and have the following information ready:

  • Your name and date of birth
  • Daytime phone number
  • Name of insurance & ID number
  • Name of specialist / facility
  • Reason for specialist visit

Section 1557-Discrimination Policy

Integrative Arthritis and Pain Consultants, PA complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

Integrative Arthritis and Pain Consultants, PA  does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Integrative Arthritis and Pain Consultants, PA  provides free aids and services to people with disabilities to communicate effectively with us, such as:

• qualified sign language interpreters
• written information in other formats (large print, audio, accessible electronic formats, other formats)

provides free language services to people whose primary language is not English, such as:

• qualified interpreters

• information written in other languages

You can file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:

U.S. Department of Health and Human Services<
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201

1-800-368-1019, 800-537-7697 (TDD)

 

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

Patient Forms

New Patient Referral Form – This form allows your general physician or other specialist to refer a new patient for a doctor’s visit at Integrative Arthritis and Pain Consultants.

 

Medical Release Form – This document allows a patient to list the names of family members, friends, clergy, health care providers, or other third (3rd) parties to whom they wish to have made their medical information available.

 

HIPPA Consent Form – This document allows an appointed person or party to share specific health information with another person or group. Your appointed person can be a doctor, a hospital, or a health care provider, as well as certain other entities such as an attorney.

Arriving for Your Appointment

  • Please come in 30 minutes before your scheduled time.
  • Check in with our front desk team. Tell them your name and provide any insurance information, referral (if not electronic), lab results or imaging studies.
  • Pay your insurance copay amount.

 

Cancellations

If you need to cancel an appointment, call us at least 24 hours before your appointment or we will have to bill you for a visit anyway.

If you call at least 48 hours before your appointment, we can let another patient use that appointment slot in your place, so you won’t be billed.