Forms & Policies
Important information about our office policies, financial procedures, and patient privacy. Please review these policies to ensure a smooth experience at our practice.
Financial Policy
Payment & Insurance
- Payment is due at the time of service unless other arrangements have been made in advance
- We accept cash, checks, and major credit cards (Visa, MasterCard, American Express, Discover)
- We participate with most major insurance plans. Please verify your coverage before your appointment
- Co-payments, co-insurance, and deductibles are due at the time of service
- If your insurance requires a referral, it is your responsibility to obtain one prior to your visit
Insurance Claims
- We will file claims with your insurance company as a courtesy to you
- You are responsible for any balance not covered by your insurance
- If your insurance does not pay within 60 days, the balance becomes your responsibility
- Please bring your current insurance card to every appointment
Outstanding Balances
- Accounts not paid within 90 days may be subject to collection procedures
- A $35 fee will be charged for all returned checks
- Payment plans may be available for large balances - please speak with our billing department
Office Policy
Appointments
- We request 24-hour notice for appointment cancellations
- Missed appointments or cancellations without proper notice may result in a $50 no-show fee
- Please arrive 15 minutes early for your first appointment to complete necessary paperwork
- Please arrive 10 minutes early for follow-up appointments
- Late arrivals may need to be rescheduled depending on availability
Office Hours
- Monday - Friday: 9:00 AM - 5:00 PM
- Closed on weekends and major holidays
- After-hours urgent care: Please call our main line for instructions
- For medical emergencies, please call 911 or go to the nearest emergency room
Prescription Refills
- Please allow 48 hours for prescription refill requests
- Refill requests should be made during regular business hours
- Some medications may require an office visit before refills can be authorized
- Schedule your appointment before your medication runs out to avoid delays
Medical Records
- Medical record requests must be made in writing
- Please allow 7-10 business days for processing
- A fee may apply for copies of medical records per state regulations
- Records will only be released with proper written authorization
HIPAA Privacy Policy
Your privacy is important to us. We are committed to protecting your health information in compliance with the Health Insurance Portability and Accountability Act (HIPAA).
Your Rights
- You have the right to access and obtain a copy of your medical records
- You have the right to request corrections to your health information
- You have the right to request restrictions on how we use or disclose your information
- You have the right to receive confidential communications
- You have the right to file a complaint if you believe your privacy rights have been violated
How We Use Your Information
- For treatment, payment, and healthcare operations
- To communicate with you about appointments and test results
- To coordinate care with other healthcare providers when necessary
- As required by law or for public health purposes
- With your written authorization for other purposes
Our Commitment
- We maintain physical, electronic, and procedural safeguards to protect your health information
- Our staff receives regular training on privacy practices
- We will notify you in the event of a breach of your protected health information
- We conduct regular audits to ensure compliance with HIPAA regulations
Important Notice
By scheduling an appointment with Premier Health Internal Medicine & Pediatrics, you acknowledge that you have read, understood, and agree to comply with our office policies.
If you have any questions about these policies, please don't hesitate to contact our office at (734) 680-8870. Our staff will be happy to assist you.
We look forward to providing you with excellent healthcare services.
Location
32643 Cherry Hill Road
Westland, MI 48186
Hours of Operation
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