Primary Healthcare Services at FHC Clinics | Family Health Center

Pwomosyon sante ou ak sèvis kolaborasyon swen prensipal.

Nou ankouraje sante pa bay sèvis swen prensipal kolaborasyon, enkòpore ekip sant sante nou an ak ekip swen pèsonèl ou pou rive jwenn objektif sante espesifik ou yo. Nou bay sèvis prevantif, tankou egzamen byennèt ak fizik. Nou kapab ede ou tou nan jere maladi kwonik ou yo. Nou trete maladi egi ak blesi minè, fè pwosedi biwo minè, epi yo ka bay sèvis laboratwa debaz yo.
Founisè pedyatrik nou yo ofri egzamen ki byen timoun, lekòl fizik, ak randevou menm jou
pou lè pitit ou pa santi byen.

Enfòmasyon enpòtan pasyan

Anba a ou pral jwenn enfòmasyon enpòtan sou randevou ou.

Randevou ou

Planifye pou rive 15 minit anvan tan randevou pwograme ou a.

Tanpri pote atik sa yo avèk ou nan chak randevou:

Didantite foto
Kat asirans
Lis aktyèl medikaman

Si sa a se premye randevou ou, yo pral mande ou ranpli yon Fèy demografik ak Istwa Sante. Tanpri ranpli byen kòm enfòmasyon sa a se itil nan founisè ou jan yo ranpli plan ou nan swen.

Telefòn Selilè

Anplwaye Sant Sante Fanmi an mande ke ou pa sèvi ak telefòn selilè ou pandan y ap nan chanm egzamen yo. Objektif nou se pou ou dwe yon patisipan aktif nan swen sante ou. Elimine apèl telefòn pral pèmèt pou ou menm ak anplwaye nou yo kominike efektivman.

Randevou oswa anile Randevou

Nou konprann ke ou ka bezwen re-orè oswa anile randevou ou an. Tanpri, dwe courteous nan lòt pasyan nou yo epi rele biwo a 24 èdtan anvan tan pwograme ou anile oswa rechedule.

Pa gen okenn montre ak kwonik randevou anile

Nou rekonèt ke sitiyasyon rive ki ka pa pèmèt ou vin nan randevou ou. Pou nou pi byen sèvi pasyan nou yo, nou mande pou ou rele sant sante a si ou pa gen entansyon ale nan randevou ou.

Ta dwe sa vin yon pwoblèm kwonik, ka mande ou pou pran randevou menm jou sèlman.

Si ou te repete randevou pa gen okenn-montre, founisè ou ka chwazi pou pa ranpli medikaman ou jiskaske ou te wè.

Rapèl randevou

Ou pral resevwa yon apèl telefòn otomatik pou raple ou nan randevou ou. Tanpri avize sant sante a si ou pa kapab kenbe randevou ou.

Demann pou ranpli

Tanpri rele famasi ou pou nenpòt demann ranpli. Tanpri pèmèt 3 jou biznis pou sant sante a apwouve demann refill ou.

Jesyon doulè kwonik

Sant sante a pa bay sèvis jesyon doulè kwonik ni nacotik presecribe pou jesyon doulè long tèm. Nou pral kontan refere ou nan yon espesyalis jesyon doulè pou bezwen kwonik ou yo.

Enfòmasyon sou fakturasyon ak peman

Yo pral mande ou verifye asirans ou, adrès, nimewo telefòn, ak adrès imel nan chak randevou. Kondisyon sa a asire enfòmasyon ou se monte-a-dat e ke depatman bòdwo nou an se kapab pwosesis reklamasyon medikal ou byen. Enfòmasyon sou imel ou sèlman itilize pa biwo nou an.

Ta dwe nenpòt nan enfòmasyon ou chanje, tanpri kontakte biwo founisè ou a epi mete ajou enfòmasyon an pi vit ke posib. Nou vle pou kapab kominike avèk ou konsènan sante ou.

Biwo nou yo aksepte lajan kach, tcheke, ak kredi/peman kat debi. Tanpri dwe prepare pou peye ko-peye ou oswa frè nan moman nan sèvis.

Biwo Sant Sante Fanmi yo ofri yon echèl frè glisman ki bay sèvis rabè ki baze sou enfòmasyon espesifik fanmi ou. Pasyan yo ankouraje pou ranpli yon aplikasyon pou ede ak depans kèlkeswa pwoteksyon asirans.

Pou pasyan ki pa gen okenn asirans, Sant Sante Fanmi an ofri sèvis kalifikasyon. Tanpri pale ak Navigatè a nan biwo founisè ou a pou konplete yon aplikasyon.

Kesyon konsènan bòdwo ou?
‍Tanpri kontakte Depatman Fakturasyon nou an nan (812) 494-9500.

Medicare

Ka gen sèvis ke Medicare pa pral peye pou. Yo pral mande ou ranpli Avi Benefisyè avanse ki deklare ou te fè okouran yon sèvis pa pral kouvri pa Medicare epi ou pral responsab pou akizasyon yo.

Medicaid

Ekip enskripsyon nou an ap verifye estati Medicaid ou nan chak randevou. Li se responsablite pasyan an pou asire ke founisè w ap wè a ki nan lis kòm doktè aktyèl swen prensipal ou (PCP) ak Medicaid.

Tablo mwen

Ki sa ki MyChart? Yon pòtal sou entènèt ki bay aksè a dosye medikal ou ak kominike avèk biwo founisè ou yo.
Ki jan mwen ka enskri? Nenpòt anplwaye Sant Sante Fanmi ka ede w nan enskri.
Kisa mwen wè lè mwen loge nan MyChart? Ou ka wè yon lis medikaman aktyèl ou yo, rezilta ki soti nan tès, ak rezime apre-vizit soti nan founisè ou

Vizite MyChart

FMLA, andikap, ak/oswa fòm divès kalite

Biwo Sant Sante Fanmi yo ka ranpli fòm ak dokiman yo mande pa yon Twazyèm Pati. Tanpri pèmèt senk (5) jou biznis pou biwo nou an ranpli demann lan.

Fòm pasyan

Avi sou pratik sou enfòmasyon prive Otorizasyon pou divilge enfòmasyon sou sante pwo

Pwomosyon sante ou ak sèvis kolaborasyon swen prensipal.

Nou ankouraje sante pa bay sèvis swen prensipal kolaborasyon, enkòpore ekip sant sante nou an ak ekip swen pèsonèl ou pou rive jwenn objektif sante espesifik ou yo. Nou bay sèvis prevantif, tankou egzamen byennèt ak fizik. Nou ka ede ou nan jere maladi kwonik ou yo. Nou trete maladi egi ak blesi minè, fè pwosedi biwo minè, epi bay sèvis laboratwa. Founisè Pedyatrik nou yo ofri egzamen ki byen timoun ak randevou menm jou pou lè pitit ou malad.

Enfòmasyon enpòtan pasyan

Anba a ou pral jwenn enfòmasyon enpòtan sou randevou ou.

Your Appointment

Plan to arrive at your appointment 15 minutes prior to your scheduled time.

Please bring the following items with you to every appointment:

Photo ID
Insurance Card
Current list of medications
If you are a diabetic, bring your glucose meter and list of blood sugar readings

If this is your first appointment, you will be asked to complete a Demographic Sheet and Health History. Please complete thoroughly as this information is helpful to your provider as they complete your plan of care.

Cell Phones

The Health Center staff asks that you do not use your cell phones while in the exam rooms. Our goal is for you to be an active participant in your health care. Eliminating phone calls will allow for you and the health center staff to communicate effectively.

Reschedule or Cancel Appointments

We understand that you may need to re-schedule or cancel your appointment. Please be courteous to our other patients, and call the office 24 hours before your scheduled time to cancel or reschedule.

No-Show and Chronic Cancelled Appointments

We recognize that situations occur that may not allow you to come to your appointment. In order to better serve our patients, we ask that you call the health center if you do not intend to come to your appointment.

Should this become a chronic problem, you may be asked to schedule same-day appointments only.

If you have repeated no-show appointments, your provider may choose to not refill your medications until you have been seen.

Appointment Reminders

You will receive an automated phone call to remind you of your appointment. Please notify the health center if you are not able to keep your appointment.

Refill Requests

Please call your pharmacy for any refill request. Please allow 3 business days for the health center to approve your refill request.

Chronic Pain Management

The health center does not provide chronic pain management services. We will be happy to refer you to a pain management specialist for your chronic needs. We do not prescribe narcotics for long term pain management.

Billing And Payment Information

You will be asked to verify your insurance, address, and phone number at every appointment. This allows us to keep your records up-to-date, providing our billing office with the most accurate information for processing your medical claims.

Please notify the front desk of any changes to your phone number, address, or email. We want to be able to communicate to you about your health. Your email is only used by our office.

Our office accepts cash, check, and credit card payments. Please be prepared to pay your insurance co-pay or nominal fee.

The health center has a Sliding Fee Scale application that offers discounted services based on income and family size. Health center patients are encouraged to complete the application regardless of insurance coverage.

For patients with no insurance coverage, the health center offers eligibility services. Our care managers can assist you.

Question about your bill?
Call the Family Health Center at 812-494-7500.

Medicare

There are certain services that are not covered by Medicare. In those situations, you will be asked to complete an Advanced Beneficiary Notice. This notice is provided to advise you that all or part of the services is not covered by Medicare, and you will be responsible for the charges.

Medicaid

Our front office staff will verify your Medicaid enrollment at every visit. It is your responsibility to ensure that your provider is listed as your current Primary Care Provider (PCP).

My Chart

What is MyChart? An online portal to your health record.
How can I sign up? Any health center employee can assist you.
What do I see when I log-in to MyChart?
Current Medications
Lab results
Visit Summaries
Allows you to communicate electronically between you and your health center team.

Visit MyChart

FMLA, Disability, And/Or Miscellaneous Forms

What is MyChart? An online portal to your health record.
How can I sign up? Any health center employee can assist you.
What do I see when I log-in to MyChart?
Current Medications
Lab results
Visit Summaries
Allows you to communicate electronically between you and your health center team.

Patient Forms

Notice of Privacy Practices Authorization to Disclose Protected Health Information

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