New Patient Information
Providence Family Medicine Center provides health care needs for all ages from newborn to geriatric care, including care through pregnancy and delivery.
To make sure PFMC has current patient information, patients will be asked to fill out a brief demographic sheet at each visit. This will assist us in meeting your medical needs.
Please have the following information available:
- Social Security Number
- Personal Information (name, physical and mailing address, and phone numbers)
- Guardian information (if necessary)
- Reason for visit (i.e. regular medical visit, workman’s compensation, motor vehicle accident)
- Employment information (if currently employed)
- Current insurance information (Medicaid, Medicare, BCHC and other insurances accepted). If you do not have insurance, ask about our other financial options (sliding fee).
Please arrive 20 minutes prior to your designated check-in time and bring the following items to your first appointment:
- Any pertinent medical information
- Current medications
- Copy of insurance card (required for each visit)
The front desk will ask you what type of appointment you are here for. You may have to fill out additional paperwork. Payment will be expected at the time of service (co-pays, sliding fee, etc.).
Appointments & Scheduling
To make an appointment, please call us in advance at 562-9229. You can expect to see your primary care provider or a member of their team anywhere from the day you call to 5 days out. It’s important to arrive at your check in time if you’re an established patient to secure your scheduled appointment and to allow time for registration at the front desk.
Same-day appointments are available for patients who need to see a health care provider on an urgent basis. These appointments are filled on a first-come, first-serve basis so call early.
Patients are considered late if they don't arrive by their check in time. While we will do all that we can to help late patients, we cannot always accommodate you and may have to reschedule.
To cancel an appointment, be sure to give PFMC 24-hours notice. Failure to notify within 24 hours prior to your appointment is considered a “No Show.” Patients with 3 or more documented "no shows" or cancels with less than 24 hours, may be charged a no-show fee and will be reviewed for possible discharge from the practice.
To provide you with the best care, make sure to bring in all medications that are prescribed by all providers, over the counter medicine, and herbal supplements. This helps us anticipate any drug interaction and prescribe the correct dosages.
Please plan accordingly for prescription refills and call your pharmacy several days before your medication runs out. The pharmacy will fax over a refill request. It will take up to three business days to process prescription refills (by PFMC and your pharmacy) and refill requests are not accepted over the phone. If it’s been several months since your last appointment, you may be asked to make an appointment to refill your prescription. If a new prescription is required, your pharmacy will notify us and your provider will either fax the prescription to the pharmacy or call you to set up an appointment.
To request a copy of your medical record, you will need to sign a release of information and indicate the specific information you are requesting. Payment is due at the time of request: $15 for 1-50 pages, $30 for 51-100 pages, and $45 for 101-150. The turnaround time is a maximum of 30 days. Medical Records will contact you when the records are ready to pick up. A physician’s office can request a copy of your medical records at no charge.
As a courtesy, claims will be directly submitted to your insurance carriers. Check your insurance plan booklet for participating providers. It is your responsibility to contact your insurance company to find out if your deductible has been met for the calendar year, and what your co-pay is (percent you pay). Patients are responsible for deductibles and co-pays at the time of service.
PFMC has a Sliding Fee Program that provides reduced rates for qualified individuals. Various rates are available based on your household size and income. Sliding Fee applications are available at the front desk. They need to be completed with all required financial information and submitted within 10 working days of your visit to qualify for a reduced rate.
Make sure to review your statements carefully. If you have questions, please call our Billing Department at 273-9390 or our Sliding Fee Specialist at 273-9371.
On Call Coverage/Emergency
A health care provider is on call 24 hours a day. Dial the main number to connect with the answering service. Calls should only be for urgent medical concerns after business hours. If you have a life threatening emergency at any time, please call 911.
For more information
To learn more about Providence Family Medicine Center, please call (907) 562-9229, Monday through Friday, 8 a.m. to 4:30 p.m. To find general information and specific health topics, visit our online health library