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KACHINA FAMILY PRACTICE NEW PATIENT INFORMATION
Welcome to Kachina Family Practice. It is our intent that your contacts
and experiences with us will be positive in every aspect. Below, we
have listed information that we hope will smooth your initial visit
with us and provide you with important information about our practice.
Please also see Frequently Asked Questions for
more information that
may benefit you in your interactions with us.
SCHEDULING:
To schedule an appointment with our office, please call 480-706-4100.
Our office has an "Auto-Attendant" to assist with the high volume of
calls received by our practice (go to How to
Navigate the Phones). We ask that you listen to the phone
menu and become familiar with the options. Choose option #2 to schedule
an appointment.
REGISTRATION:
To register as a new patient with our practice, each patient will need
to complete 3 forms: Registration Form,
Financial Policy and Medical
History Form. You may click on the appropriate form, download it and
print it for completion prior to your first visit. We do not have the
capability for fax or e-mail handling of these registration forms. We
ask that on your first visit, you arrive 15-20 minutes early to allow
enough time for the registration process. You should bring your
insurance card and completed registration forms. If you have not
received an insurance card, you will need to bring the ID number, Group
number, Claim address and phone number for your insurance company or
plan. If you are unable to provide the necessary information, we would
ask that you be fee-for-service, or if you choose, you may reschedule
your appointment. All minors must be accompanied by a parent on their
first visit. Please bring the minor's immunization record to the first
visit. Also bring any medication currently taken by the patient, in
their original containers.
INSURANCE BILLING:
As a courtesy, we will file claims for those insurance plans with which
we have an agreement. All co-pays and deductibles are due at the
time
of service. Please see our Financial Policy
for further information
about our billing guidelines. If we do not participate in your health
plan or you have no health insurance plan, once again, fees for our
services are due at the time of service.
REFERRALS:
Should your provider ever recommend that you consult with a specialist,
we would appreciate you following our referral process: Schedule an
appointment with your specialist at a time convenient for you. We would
suggest that you then immediately call our office at 480-706-4100 and
select option #5 to leave a message with your appointment time and
date, and the name of your specialist with our Referral Coordinator.
Please allow at least 1 week notice for our staff to complete the
referral process. Please understand that your appointment with the
specialist may be denied and you may have to reschedule your
appointment if these guidelines are not followed.
PHARMACY MEDICATION REFILLS:
We request that any medication refills should be phoned in to your
Pharmacy. The Pharmacy will then in turn contact the doctor for
authorization if necessary. Please allow 48 hours for any refill
authorization.
PHONE SYSTEM/CALL-BACKS:
It is the policy of Kachina Family Practice to return all patient phone
calls the same day, however, calls left after 3pm may not be returned
until the following work day. Our phone system is a digital system. It
is necessary for us to have this type of system to handle the volume of
calls coming in to our facility. It shows up as "unavailable" on any
phone system with "Caller-ID". If you have "Caller-ID" of any kind, it
will be necessary to unblock your phone in order to receive callbacks
from our office. This would include callbacks from a physician,
confirming appointments, talking with the on-call doctor. If you have a
question or need to leave a message for your provider, we ask that you
follow our "Auto-Attendant's" instructions. Please listen carefully to
the prompts. The provider's voice mailboxes are checked frequently
during the day and either a staff member or the provider will return
your call the same day.
Web site and all contents Copyright Kachina Family Practice, P.A., 16611 S 40th Street, Suite 120, Phoenix, Arizona 85048 All rights reserved.
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