Informed Consent: Patients will be informed about the nature of their treatment, possible risks, benefits, and alternatives before any procedure or treatment plan is initiated.
Respect and Dignity: Patients are entitled to be treated with respect and dignity by all staff members. Discrimination or harassment will not be tolerated.
Medical Records Access Policy: Patients have the right to access their medical records. Records may be viewed and obtained through the patient portal or by submitting a formal medical records request from another medical clinic via fax at 501-232-7969. Medical records requests must be submitted using the clinic’s designated medical records request process and faxed to 501-232-7969. All requests will be processed in accordance with applicable state and federal privacy regulations.
Honesty and Accuracy: Patients should provide accurate and complete information about their health history, symptoms, and any medications they are taking.
Compliance: Patients are expected to follow the treatment plan prescribed by their healthcare provider and communicate any difficulties or concerns about the plan.
Cancellation and No-Show Policy
Patients are required to provide at least 48 hours’ notice to cancel or reschedule an appointment. Appointments canceled or rescheduled with less than 48 hours’ notice, as well as missed appointments (“no-shows”), will result in a $50 fee.
This fee is not intended to cover the cost of the appointment, but rather to ensure appointment availability for other patients and timely access to care. The $50 fee must be paid in full prior to rescheduling any future appointments.
After a second no-show, the clinic reserves the right to decline further scheduling. All determinations regarding fees and future scheduling are made at the sole discretion of the clinic.
Financial Policies
Insurance: Patients should provide their insurance information at the time of their appointment. We will verify coverage and inform patients of their financial responsibilities.
Co-Payments and Deductibles: Co-payments and deductibles are due at the time of service. Patients are responsible for understanding their insurance benefits and coverage limits.
Self-Pay: Patients without insurance or with high deductible plans are expected to pay for services in full at the time of the visit.
Invoices: Patients will receive a detailed invoice for any services rendered. Payments can be made through our patient portal, by phone, or in person.
Privacy and Confidentiality
Disclosure: Medical information will not be disclosed to third parties without the patient's consent, except as required by law.
Protection: We employ industry-standard security measures to protect patient data. Any breaches of data security will be reported promptly.
Emergency Procedures
During Office Hours: In the event of an emergency during office hours, patients should inform the staff immediately for prompt assistance.
After Hours: For medical emergencies after hours, patients should call 911 or go to the nearest emergency room.
Urgent Issues: If a patient experiences urgent pain or a sudden change in their condition, they should contact our office as soon as possible for guidance on next steps.
Patient Feedback and Complaints
Suggestions: We welcome feedback on how we can improve our services. Patients can provide feedback through our patient portal, by email, or in writing.
Complaints: Complaints should be directed to the office manager. We are committed to addressing concerns promptly and fairly.
Compliance with Policies
Policy Acceptance: By becoming a patient at Pain Treatment MD, you agree to adhere to these policies. Non-compliance may result in discontinuation of care.
Policy Changes: Policies may be updated periodically. Patients will be informed of significant changes and are encouraged to review the policies regularly.
