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 Deborah Z. Bain, M.D.
  4851 Legacy Drive, Ste #301
  Frisco, Texas 75034

 
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(972) 294-0808   
Fax: (972) 294-0809
   
   
   
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8. Appointment Cancellation and Rescheduling Policy


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Revised 12/2011

 
Healthy Kids Pediatrics has instituted the following policies in order
that we may better serve our patients.
 
Please provide at least three hours for canceling and rescheduling of appointments so that those that are waiting for an appointment can be scheduled. Cancellations with less than three hours notice will result in a $25.00 charge. Failure to cancel will also result in a $25.00 charge. Healthy Kids Pediatrics always attempts to confirm all appointments several days before the scheduled appointment. If there is no response to our call, we will continue to call until the day of the appointment. Failure to respond to our calls could result in giving your appointment to another patient. If you need to respond after hours to notify us of a cancellation or to confirm your appointment, feel free to leave a message.
 
AFTER HOURS CALLS TO A PROVIDER
 
Effective December 2011 Healthy Kids Pediatrics has instituted a policy for
calls made to the on-call provider between the hours of 10:00 pm and 8:00 am.
 
Our telephones are answered from 8:00 a.m. to 12:00 pm and 1:30 pm to 5:00 p.m.  Our employees have been instructed to handle all incoming calls. This allows the providers to attend to their scheduled patients with a minimum amount of interruption. If you feel you need to speak to a provider during office hours you will be asked to leave a message and your message will be relayed to the provider. It is very possible that the provider will instruct the medical assistant/nurse to respond to your call with their instructions as this may be the fastest way to respond to your inquiry during office hours.
If you have an emergency and find it necessary to contact the provider after hours, call the office phone number and follow the prompts for the type of response you would like for your call. The phone system will forward emergent messages to the provider on call and they will return your call.  THERE MAY BE A $25.00 CHARGE FOR EMERGENT CALLS TO THE PROVIDERS:  EACH PROVIDER DETERMINES THEIR OWN POLICY.  Non-emergency messages may be left on the office voice mail.
 
If you choose to contact the on call provider after hours with a non-emergent situation, there will be a $25.00 charge for the call. After hours telephone calls from patients or other parties acting on behalf of the patient may be charged.  Expenses incurred by emergent/non-emergent calls will not be billed to the insurance company, as they will not pay for this service; therefore, these charges are the sole responsibility of the patient.

I have read and understand the Appointment Cancellation/Rescheduling Policy and the After Calls to a Provider Policy.

 

 

I have read and understand the Appointment Cancellation and Rescheduling Policy.

* Required
 
 
 
 
Thursday, February 23, 2012
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