Patient Resources and Forms

Welcome to our Patient Resource Center. Here, you can get a headstart on completing forms and documents prior to your appointment.

Appointments

Office visits are by appointment only and maybe scheduled by calling your Owensboro Medical Practice office. The exception is The Immediate Care Center which takes walk-ins only. New patient visits may last longer than 30 minutes. Please allow enough time for your appointment to accommodate delays. You will receive a telephone confirmation one work day prior to your scheduled appointment.

 

After Hours

If you experience a minor injury or illness after our office hours. We encourage you to visit our Immediate Care Center at 1200 Breckenridge Street in Owensboro. There is a physician on call 24 hours, please call the appropriate clinic number and ask to have a physician paged. The on-call physician will return your call as soon as possible. If you have a life-threatening situation, please call 911 or proceed to the nearest emergency room.

 

Health Plan Participation

Our offices participate with most networks and managed care organizations. To determine whether our office participates with your health plan, you may ask a member of our staff, contact your insurance company, or speak with your employee benefits counselor.

 

Financial Policy

We are glad to file our charges with your insurance company as a courtesy to you. Co-pays are due at the time of service. You are also responsible for paying any deductibles and/or co-insurance. In the event that your insurance company denies the claim, you will be responsible for the balance in full within 30 days of receiving your first billing statement.

If you have no insurance, payment in full is due for all services rendered at that time. If you are unable to pay your balance in full, please contact our billing department to negotiate the terms of your payment. The direct line to our billing department is 270-684-0028.

Failure to comply with these terms could result in collection procedures including the use of collections agencies and legal counsel. It could jeopardize your future appointments with any of part of Owensboro Medical Practice.

Refund checks for credit balances of $5.00 or less will not be issued. We accept cash, check, MasterCard, Visa and Discover payments.

 

Privacy Consent Form

Registration Form

Privacy Practices Notice

Medical Records Release