Financial and General Office Policies
We are committed to providing you with the best possible care and are pleased to discuss our professional fees with you at any time. Your clear understanding of our financial policy is important to our professional relationship. Please ask if you have questions about our fees, financial policy, or office policy.
Patient Forms & Information
See our Patient Forms page for new patient forms. All patients need to provide us with general information, including their billing address, insurance information, necessary photo IDs, and medical information prior to seeing a provider.
Appointments
If you are unable to keep an appointment you have scheduled, we need at least a 24-hour appointment cancellation notice to allow another patient to use the time that has been set aside for your visit. Failure to show up to a scheduled appointment on more than two occasions without at least a 24-hour advance notice to cancel/reschedule can result in dismissal from the practice. Additionally, the practice may charge a “no-show” fee of $50 for every “no-show” per patient.
Payments
Copays are required at the time services are rendered. We do not bill for copays or private pay visits – these are due at the time of service. From year to year, your insurance might change; it is your responsibility to know the changes that occur with your insurance plan.
Insurance
See our Health Insurance page for plans we accept. Please advise us if you are insured by a PPO or HMO when scheduling your appointment. We will bill Medicare, primary insurance, and secondary insurance companies from our office. If you have an HMO or PPO insurance, we ask you to pay your co-payment at the time of service. If you are insured by an HMO, please call your insurance company to select Dr. Coury as your primary care physician before your initial visit. Should you have any insurance changes such as, policy numbers or insurance companies, you will need to bring in your new card or provide us with the updated information. Any checks returned as “non-sufficient funds” will be charged a $25 fee.
Medical Records
A medical records release form must be completed and signed by the patient prior to the records being released. Please allow 7 to 10 working days for these records to be received by or sent by our offices.
Billing
Any billing questions or concerns will be addressed by the billing staff. You may direct these concerns to our offices by calling 480-633-6200.
Changes in Patient Information
It is your responsibility to advise us of any patient address, phone number, medical history, medication, or insurance information changes at the time of your appointments and immediately after any of these changes.
Minors
All minors must be accompanied by a parent/guardian at their initial visit. After the first visit, providers will treat a minor provided there is written permission on file to do so with the offices. Please note that no surgical procedures or injections/immunizations will be given without a parent/guardian present.
Emergency Treatment After Hours
An answering service is available after hours and on the weekends for emergencies. If your situation is such that you cannot wait for the physician to be located, go immediately to the Emergency Room at the closest Hospital to you or dial 911.
Prescription Refills
If you need a prescription refill, please call your pharmacy 72 hours before it is needed. The pharmacy, in most cases, will contact us. We make every effort to respond on the same day. Sometimes, however, this is not possible.
For patients on medications, the Providers require a checkup and lab work every six months in order to continue to refill the medications. As a general rule, for chronic conditions, providers will prescribe enough medication and refills to last you until you need to be re-evaluated for your condition. Please take note of how many refills you have remaining as this is an indication of when you need to be seen again by your provider.
Please ask questions at the time of service if you do not understand items contained within these policies.
