Patient Information


When scheduling please be prepared to provide the following information:

Please note that you are required to present your insurance card(s) at each visit and meet all copayment, deductible, and/or patient balance obligation(s) prior to being seen.

Please note: Once you have scheduled an appointment with New Hope Family Practice, we require a 24-hour advance notice for all cancellations to avoid a $50.00 for a regular follow-up or $75.00 for a physical/yearly exam “no show” fee. This fee is due prior to any additional appointments being made. Any patient who misses or has late cancellations for three (3) scheduled appointments, could be discharged from New Hope Family Practice.

All prescriptions refill requests need to be initiated thru your pharmacy. Controlled substances need to be called in at least one week prior to running out of your medication and can take up to 72 hours to be refilled.

When calling in a refill request, please be prepared to provide the following information:

After Hours Advice: All calls related to prescriptions, lab results, appointments, and or general medical advice, should be made during normal business hours. Any calls made to our office after business hours will be forwarded to our answering service to handle your call.

Documents


Assignment of Benefits

Health History

Medical Records Release

Office Policy

Patient Information

Privacy Practices

Wellness Update