Michael Glick MD PA
1501 US HWY 441 N Suite 1102
The Villages, FL 32159
ph: (352) 753-5222
fax: (352) 753-6483
alt: (352) 753-0392
mglickmd
To Our Valued Patients...
The associates and staff of Michael Glick, MD PA appreciate your preferece for our health facitlity as your primare care provider. To provide you with quality services during your care in our facility, we will request the following information on or before your initial visit to our office:
We shall provide you a patient registration form that asks for your personal health information. We understand that medical information about you and your health is personal and we assure all patients that we are committed to limiting the use of this information for providing quatlity care and complying with certain legal requirements.
Our facility has prepared copies of the Notice of Privacy Practices in the reception area for the public to read. Patients may request a copy from the front desk.
Insurance concerns. As a policy, the facility asks all new patients to pay the full amount of services rendered during the first office visit. This amount will be refunded to the patient after we have received payment from your insurance.
For succeeding visits, our facility will collect patient co-pays on the day of the appointment based on information given us by your insurance.
We file medical claims to Medicare, Champus Tricare, and other governemtn insurance agencies. If one of these is your primary insurance, we may file claims to a second private insurance as a courtesy. We are also a participating provider of BlueCross & BlueShield of Florida traditional plans and PPO ONLY. For patients holding two or more private insurance policies, the office will only file claims to one private insurance.
If you need information for filing claims to your second private insurance, our staff can provide the necessary information (diagnosis or procedure codes) to facilitate your claim.
After your visit with the doctor, please drop by our checkout desk to schedule your next appointment. We will give you an appointment card to remind you of these dates. Lab appointments are usually written at the back of these cards. We shall inform you if the test is fasting or non-fasting.
AS a reminder, our staff may call you a few days before your scheduled appointment to the doctor. however, we do not confirm lab appointments. Please keep your lab appointments as the doctor will need the lab information during your office visit.
Bone density tests are done every WEdnesday afternoon. Echocardiograms, ultrasounds, and carotids are done every Monday morning and Thursday.
There will be instances that our facility will accept emergency work-ins for patients requiring urgent care on the day of your qppointment. Please advise our front desk if you wish to be rescheduled due to unexpected delays in your scheduled appointment.
We ask patients to call in requests for medications refills at least two days before you pick up the prescription script. Requests called in on Friday will be ready by Monday. The staff needs enough lead time to coordinate with doctors and/or your pharmacist.
For new patients, it will help us to fill in your medication flow sheet if you bring in your current medications during the initial visit.
If spouses have apointments on the same day, please be advised that doctors usually want to talk to one patient at a time. Unless required by the doctor, it would be best for the patient to be alone during treatment or consultation period. Other family members are not allowed inside treatment rooms.
If you or your assigned representative (legal guardian/lawyer) need a copy of your medical records, kindly sign an authorization to release medical records at our office. The facility will charge a minimal fee (as allowed by law) to cover the reproduction and mailing of your medical records.
If there are any changes in your address, phone number, or insurance coverate please notify our front desk
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Michael Glick MD PA
1501 US HWY 441 N Suite 1102
The Villages, FL 32159
ph: (352) 753-5222
fax: (352) 753-6483
alt: (352) 753-0392
mglickmd