Office Policies
  1. Office Procedures and Policy Statement
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    Regular office hours are 8:00 a.m. to 4:00 p.m. Monday-Friday.  Dr. Koch values your time and will strive to adhere to the scheduled appointment times.  We request 24 hours’ (one full business day’s) notice if it necessary to cancel an appointment.  WE CHARGE FOR APPOINTMENTS MISSED, CANCELED, OR BROKEN WITHOUT 24 HOURS’ ADVANCE NOTICE.  As insurance does not pay for these appointments, the patient/guarantor is responsible for these charges.  Two consecutive missed appointments may result in being discharged from care.

    Patient confidentiality will be respected at all levels of communication and is protected by Federal and State Laws.  There are, however, situations in which confidentiality may be compromised by the provider’s professional and legal duty to protect.  Briefly, these situations may include a strong indication of imminent danger to self or others or indication of abuse or neglect of another.  Patients under the age of 18 require a parent or legal guardian to receive services. Please discuss your concerns about the limits of confidentiality with Dr. Koch and read the HIPPA privacy statements provided in the waiting area or please ask the receptionist for a copy.  
    Following the execution of a valid Patient Authorization Form (Release of Information), patient records or a treatment summary will be forwarded to a licensed professional.  Requests to obtain personal copies of your medical chart and requests to release records to any other entity (including attorneys) will be reviewed on an individual basis. This service is billed at the actual cost of supplying the records, including the cost of copying, mailing, and professional time.  Any request for release of records must allow at least two weeks’ preparation time.
    Our telephones are answered from 9:00 a.m. to 4:00 p.m.  Our receptionist will attempt to respond all incoming calls or messages left on the voicemail system. This allows Dr. Koch to attend to his scheduled patients with a minimum amount of interruption.  If you have an emergency and find it necessary to contact Dr. Koch after hours, his voice mail will forward emergent messages directly.  THERE MAY BE A CHARGE FOR EMERGENT CALLS TO THE PROVIDERS:  EACH PROVIDER DETERMINES THEIR OWN POLICY.  Non-emergency messages may be left on the office voice mail.  Expenses incurred by emergent calls are not covered by insurance companies; therefore, these charged are the sole responsibility of the patient. Paperwork or letters written on behalf of the patient by Dr. Koch will also include his hourly rate, pro-rated by the quarter hour.  
    Medication refills will only be handled during office hours, during scheduled appointments, and only if you are CURRENTLY under Dr. Koch’s care.  If you are prescribed medication, you will be given enough medication to cover you until your next scheduled appointment. If your appointment is rescheduled as a result of unforeseen circumstances, contact the office staff to arrange for medication refills to prevent running out of your prescriptions.  MEDICATION REFILLS ARE NOT PROVIDED ON THE WEEKENDS OR AFTER OFFICE HOURS.  PLEASE GIVE AT LEAST 48 HOURS NOTICE FOR A REFILL.   Certain medications legally require a written prescription.  There will be a $10 charge for any prescriptions/refills obtained outside of a scheduled appointment.
    Payment is due at the time of service.  For your convenience we accept cash, money orders, Visa, MasterCard, and personal checks.  If paying by cash, please try to have correct change as we do not keep cash in the office.  If your check is returned from your financial institution, we will no longer be able to accept them and there will be a $25 service charge.  We typically do not obtain authorization for out-of-network insurance, complete treatment reports, or any other forms requested by out-of-network insurance.  

    The best healthcare is based on friendly, mutual understanding among the staff, provider, and patient.  If any problems or questions arise, regardless of the nature, do not hesitate to bring them to our attention immediately. We thank you for coming to this office.  We are looking forward to getting to know you.

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they get all nervous and give the wrong answers.