PATIENT RESPONSIBILITIES

In order for our practice to function as smoothly as possible it is your responsibility to abide by the following rules. Failure to abide by our clinic policies can result in dismissal from our practice.

  • You are responsibile to provide, to the best of your knowledge, accurate and complete information regarding your child(ren)’s past and present medical condition.

  • You are responsible for following the treatment plan recommended by the physician(s).

  • You are responsible for your own actions if you refuse to follow the treatment plans of the physician(s).

  • If you can not follow through with a treatment plan, you are responsible for informing the physician so that an alternative treatment plan can be developed.

  • You are responsible for notifying our physician(s) of any unexpected changes in your child's condition.

  • You are responsible for keeping your appointment and providing us with reasonable notification if you will be unable to keep your scheduled appointment.

  • You are responsible for knowing what your insurance benefit plan covers and does not cover.  Your benefit plan is a contract between you and your insurance carrier.  Under State and Federal laws you have certain rights of appeal should your insurance carrier inform you of certain benefits and then denies claims based on the information provided to you. These rigts of appeal do not transfer to our office if we act as your agent, representative or as a 'go-between'.

  • You are responsible for verifying with your insurance carrier that Dr. Perryman is In-Network for your benefit plan.  If you verify our network status, then you have certain rights of appeal through your contract and State law. These rights of appeal are lost if our office verifies the status.  If we verify network status any verification is non-binding, and we do not assume any liability for mis-information provided by your insurance carrier.  Also, if we verify network status you are expressly agreeing to indemnify and hold Teri Perryman, MD harmless.

  • You are responsible for assuring that any financial obligations for services rendered are fulfilled as promptly as possible, unless special arrangements with our office are made in writing.

  • You are responsible for being considerate of the rights of other patients and personnel, and for assisting in the control of noise and number of visitors. DUE TO LIMITED WAITING ROOM SPACE WE ASK THAT YOU LIMITED THE NUMBER OF FAMILY MEMBERS THAT ACCOMPANY YOU AND YOUR CHILD(REN).

  • You are responsible for respecting the rights of the staff, physicians, patients and property of our practice.

  • You are responsible for treating our staff with respect and courtesy. Arguing, yelling, gesturing, verbally or physically assualting our staff will result in immediate termination from our practice.

  • Lastly, a patient's health depends not just on his or her care/services but, in the long term, on the decisions he or she and his or her parents or legally designated representative(s) make in daily life. You are responsible for recognizing the effect of lifestyle choices on your personal life and the lives of those around you.