Maurice Jove M.D Jeff Traub M.D. Scott Barbour M.D.

Brian Vanderhoof D.O Farhan Malik M.D.

OFFICE POLICIES

As a patient in our practice there are certain functions that we perform on your behalf that are not directly related to patient care. As to avoid misunderstandings, we have the following policies in place:

  1. MISSED APPOINTMENTS: We reserve the right to charge you $50.00 for appointments that are not cancelled prior to your appointment time. These fees must be paid prior to your next appointment. Repeated misses, not cancelled appointments, may result in the dismissal from our practice.
  1. There is a $25.00 charge per form that we fill out on your behalf. This is for each time we fill the forms out. These forms take 5-10 business days to be ready. We will not fax the forms to your FLMA nor Disablity Insurance Company, you must pick the forms up from our office. We do not accept phone messages from FMLA nor Disabilty Ins. Companies. We will not call FMLA nor Disability Ins. Companies.
  1. There are signs, forms, and phones that utilize the trade names of EXCEL Orthopaedics and Georgia Knee and Sports Medicine. In certain instances, these companies perform various office functions not related to the delivery of medical care. All medical care is delivered by physicians who are NOT employees of these groups. These physicians bill for services under various separate entities. You may see bills under the names of Atlanta Knee and Sports Medicine, Jeff Traub MD PC, Barbour Orthopeadics and Sports Medicine, Dekalb Orthopaedic Clinic, and Gwinnett Orthopaedic and Sports Medicine, and Gwinnett Bone and Joint Specialists.
  1. For medical records, there is a $25.00 fee for copies of medical records for personal use. We will send a copy to a treating physician on your behalf for no charge. If you are a workers compensation patient and do not want to get a copy from your attorney or adjuster, the regular worker’s compensation fee schedule applies each time you get records.
  1. CO-PAYS are due at the check in desk prior to seeing the physician.

______

Patient SignatureDate

ATLANTA KNEE & SPORTS MEDICINE JEFF TRAUB M.D.P.C.

DEKALB ORTHOPAEDIC CLINIC BARBOUR ORTHOPAEDIC & SPORTS MEDICINE

GWINNETT ORTHOPAEDIC & SPORTS MEDICINE GWINNETT BONE & JOINT SPECIALISTS