Patient Guidelines

Registration

New and Established Patients
New patients should plan to arrive approximately 30 minutes before the scheduled appointment to ensure accurate information is obtained to eliminate potential billing problems.

New patients should bring the following to the first appointment:

  • Photo ID
  • Current insurance cards
  • List of medications and dosages, or actual bottles
  • List of past surgeries with dates
  • Primary care physician’s name, address and telephone number
  • Referral, if necessary
  • Completed new patient paperwork, if received ahead of time via mail; if paperwork was not received in the mail, new patients will need to complete the paperwork prior to seeing the doctor.

Established patients should:

  • Arrive 15 minutes before the scheduled appointment and check in at the front desk.
  • Bring a photo ID and insurance cards to each appointment
  • Verify address and phone number at each visit.

Registration Face Sheet

  • Established patients will review and correct, if necessary, the information provided on the registration face sheet. Patients will sign the face sheet to confirm the information is complete and accurate and return it to the front desk.
  • Patients who have insufficient insurance information at the time of service will be registered, but they are responsible for charges incurred during that visit.
  • Co-payments, co-insurances, deductibles and/or other outstanding balances will be collected from patients and a receipt issued before patients are escorted to a treatment room.

Appointments

Appointment Reminders
Automated call reminders will remind patients of their appointments 24 to 48 hours in advance of the scheduled appointment. Reminders may also be sent by email or text, based on patient preference, for patients who use the MyHealth patient portal.

Arriving Late
Patients who are more than 15 minutes late for an appointment may need to be rescheduled.

Rescheduling
BMG asks patients to call the office at least 24 hours in advance if they cannot keep an appointment. Patients will be asked to reschedule at that time. Please help BMG offer timely appointments by adhering to the 24-hour notice cancellation policy.

No Shows
Patients are considered “no shows’ if they miss an appointment without notice. To reduce the number of lost appointments due to no shows, BMG’s policy states that three no shows in a 12-month period may result in the patient being dismissed from the practice.

Same-Day Appointments
BMG providers accommodate same-day appointment requests whenever possible. If patients have an urgent need, an appointment will scheduled for the first available appointment. If an immediate appointment is not available, patients may go to the Bluffton Regional Medical Center emergency room.

Minors
When minors turn 18, they are emancipated and are considered adults.

Minors (under the age of 18) who are not accompanied by a parent or legal guardian must have a Parental Preauthorization for Medical Care to Children form completed for services to be rendered.

Bills incurred by minors are the responsibility of the parent in whose home they reside. If the other parent maintains insurance as part of a court order arising from dissolution, LMG may choose to bill the insurance carrier. LMG cannot legally pursue the second parent if his/her insurance refuses payment.

Family Medical Leave Act
Family Medical Leave Act and disability paperwork should be given to the patient’s provider or the BMG medical records department for processing. BMG contracts with Healthport, a third party company. A $25 fee is charged to process FMLA and disability paperwork.

HIPAA and Privacy
In compliance with the Health Insurance Portability and Accountability Act passed by Congress in 1996, BMG has established privacy policies and procedures regarding patients’ protected health information. PHI is defined as any information about health status or provision of or payment for healthcare that can be linked to a specific individual. HIPAA requires providers to:

  • Maintain patients’ protected health information privacy
  • Provide notice of legal duties and privacy practices to patients
  • Abide by the terms of the current privacy notice

Medical Records
To share protected health information with another person, an authorization for release of protected health information form must be signed and dated by the patient or a legal representative and a witness. The form must state to whom the records are going and which parts of the medical record are to be released. Patients must be at least 18 years of age to sign a release form. Spouses cannot sign for each other. BMG contracts with Healthport, a third-party company. Healthport will bill the patient if fees are incurred for copying and releasing medical records.

Advance Medical Directives

  • Appointment of a Healthcare Representative
  • Living Will Declaration
  • Resuscitation Issues
  • Your Right to Decide

Other Patient Resources

  • HIPAA: Notice of Privacy Practice
  • Parental Preauthorization for Medical Care for Children Form

    About MyHealth Overview
    FAQ
    Not signed up for MyHealth?
    Already signed up?

    Log in to review and update personal health info.


LUTHERAN HEALTH NETWORK
BLUFFTON REGIONAL MEDICAL CENTER | DUKES MEMORIAL HOSPITAL | DUPONT HOSPITAL* | KOSCIUSKO COMMUNITY HOSPITAL*
LUTHERAN HEALTH PHYSICIANS | LUTHERAN HOSPITAL* | THE ORTHOPEDIC HOSPITAL* | REDIMED | REHABILITATION HOSPITAL*
ST. JOSEPH HOSPITAL*

*A physician owned hospital.

If you are experiencing a medical emergency, call 911.
Patients are seen in order of severity, therefore, your spot may not be guaranteed. In case of a life-threatening emergency, call 911.
Patient results may vary. Consult your physician about the benefits and risks of any surgical procedure or treatment.