Office Policies and Forms
Office Policies and Forms
Our Policies & Procedures
Our offices are open from 8:00 am to 5:00 pm, Monday through Friday. Our physicians are also on call for after hours emergencies. We can often accommodate patients for an appointment within 24 hours.
Patient Appointments
Non-Surgical Orthopaedics, P.C. accepts patients with or without referral, according to your healthcare insurance plan. Appointment times are based on medical need and patient convenience. All minors under 18 years of age must be accompanied by a parent or legal guardian in order to be treated by our physicians. All new patients or patients who have not been seen at our office within three months are required to arrive 30 minutes prior to their appointment time.
To schedule an appointment at any of the three Non-Surgical Orthopaedics, P.C locations, please call 770-421-1420.
Cancellations
If you have a scheduled appointment time and need to reschedule or cancel, please notify our office as soon as possible, so that we may benefit another patient. We will gladly reschedule you a more convenient appointment time.
Patient Forms
As a new or returning patient (not seen within the last six months), you may need to fill out forms pertaining to personal identification, insurance, and your medical history. Please arrive 30 minutes prior to your appointment to fill these out.
Emergency Calls
If a serious or life threatening emergency occurs, please call 911 or go immediately to the nearest emergency room.
Telephone Inquiries
Telephone calls for urgent issues will be taken 24 hours a day. Please call the regular office number 770-421-1420
Prescription Refills
We reserve the right to decline to refill medications under the following circumstances:
– Medications are lost or stolen
– Missed or cancelled appointment
– Patient not seen within the last four weeks
We appreciate the opportunity to help you, and thank you for abiding by our prescription policy.
Fees and Insurance
Charges for medical services are due and payable at the time of service. Our fees are within the customary range for the Atlanta metro area. Our staff will be happy to answer any questions about our services or fees.
We have contracts with many insurance companies and managed care organizations, and we will typically file claims for all services under these programs. To find out if our offices accept your insurance plan, please check our Accepted Insurance Plans.
Please be prepared to pay co-payments and/or deductibles at the time of service. For your convenience we accept cash, checks, Visa, American Express, Discover and Mastercard.
Insurance companies often request information describing an injury before they will reimburse our office for your treatment. If this applies to you, we would expect your cooperation in providing them the requested information as soon as possible. We will be happy to answer any questions or assist you in this process as necessary.
Your insurance coverage is a contract between you and your insurance company. Prior to your appointment, you should review your benefits and question any possible exclusions on your policy. Patients may be responsible for the difference between what the insurance company allows and what they pay for your physician visits and medical services.
Medical Records Request
- Click on the form below to open the file and print.
- Fill out the form.
- Return the completed form by:
Mail
335 Roselane Street
Marietta, GA 30060
Fax
770-421-8055
or drop off at one of our locations.
There may be a fee for reproduction of medical records. Although we try to be accommodating, please expect at least a 14 day turn-around for all medical records requests. We appreciate your cooperation.
Disclosures
Notice of Privacy Practices
Please Click Here to view our Privacy Practices
Practice Survey
Please Click Here to fill out our survey
Non-discrimination Notice
Please Click Here to view our Non-discrimination Notice
Patient Rights & Responsibilities
Please Click Here to view Patient Rights & Responsibilities
Patient Policies
Please Click Here to view Patient Policies
Discover Pain-Free Living
Explore our non-surgical treatments and take the first step towards a life without pain. Request your appointment today.