Thank you...
...for considering membership in Empower Family Medicine!
OUR PROMISE to you as a practice member
includes a commitment to:
* Be present, and attentive, courteous and respectful.
* Provide high quality evidence-based information for you to make the best possible health decisions
* Provide up-to-date medical knowledge and experience for your care.
* If a question or concern arises we cannot answer, we will research the issue
or refer you to an appropriate specialist to address your concern.
OUR PROMISE to you as a practice member
includes a commitment to:
* Be present, and attentive, courteous and respectful.
* Provide high quality evidence-based information for you to make the best possible health decisions
* Provide up-to-date medical knowledge and experience for your care.
* If a question or concern arises we cannot answer, we will research the issue
or refer you to an appropriate specialist to address your concern.
How to Join
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New Patient Checklist ____ Call 404-981-6278 to schedule an initial visit. The initial visit fee is $170 paid at the time of the appointment. Visit fees are non-refundable, but appointments may be re-scheduled if necessary. ____ Review "Frequently Asked Questions" to learn about our office policies & service fees. If you have private health insurance, you may wish to contact your insurer to confirm that they will cover any lab, radiology or specialist referrals recommended by a direct primary care provider, as coverage may be restricted in some insurance plans. If you have a health spending account (HSA) call your plan manager to ask if your monthly fee is reimbursable. ____ Review the Enrollment Forms which include a.) EFM Patient Agreement b.) Authorization to Release Healthcare Information c.) Medicare Opt Out Agreement (if you are Medicare eligible) and d.) Privacy Policies. You will be given the opportunity to ask questions about our office policies and patient agreement at your initial visit. The enrollment forms will be completed at your initial visit. ____ Complete a Medical History form. You can download the form or complete it online. You will be sent a link to a digital medical history form after scheduling your initial visit. ____ Obtain a copy of your medical records prior to scheduling your first visit. Medical records may be faxed to 1-888-213-8479. Receipt of medical records can take 30 days or more. You will receive notification by phone or email when your records are received. ____ When you come to your initial visit, please bring your medical records and pill bottles for review. ____ After your initial visit, enroll as a member for continued primary care by completly enrollment forms and initiating payment of the $85 monthly service fee. You can set up monthly credit or debit draft via an online portal, or mail a check monthly. Most banks offer automatic billpay service and will mail a monthly check for you free of charge. Service may be cancelled at any time by verbal notification, and cancellation takes effect for 30 days after the date of notification. Once cancelled, individuals are not eligible to re-enroll until 12 months from the date of cancellation. *Please note : Empower Family Medicine relies heavily on the use of computer technology to facilitate detailed medical record keeping and allow you to have rapid access to your physician. All practice members are required to have internet access and be able to use the online patient portal, or to have a designated healthcare advocate (trusted family member or friend) who does. The office is also paperless, so most medical forms and records will be completed digitally and provided to you by patient portal. |
Medicare beneficiaries are welcome! If you are enrolled in Medicare, you will be responsible for the $170 enrollment and $85 per month membership fees. Other expenses such as labs, imaging, hospital or home health are billed to Medicare as usual.
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