Forms & Policies

POLICY FOR PRESCRIPTION REFILLS

Refills are provided at follow-up visits.  Your provider will send your prescriptions electronically to your pharmacy.  If a refill is needed before your appointment, please contact your pharmacy and request them to send an Electronic Refill Request.  Refills may take up to 48 hours to complete.  We do not refill prescriptions when the office is closed. 

CO-PAYS AND BALANCES

All co-pays and balances are due at the time of your office visit.

As a courtesy to our patients we will submit charges to your health insurance companies. However, you as the patient are ultimately responsible for payment on any services provided by our office.

APPOINTMENTS

We confirm all scheduled appointments 2 days prior to your office visit using an automated system.

NO SHOW POLICY

If you need to cancel an appointment we require a 24-hour notice to avoid a potential fee of $40.00. If you need to cancel a prime appointment (7am-9am or 5pm-7pm) we require a 48-hour notice. In order to offer our patients same day sick appointments as well as convenient times for scheduled visits this policy is strictly enforced.

FORMS

If you need a form filled out by your provider there will be a fee between $25.00 to $100.00 depending on the complexity of the form.  Please be sure to fill out your portion of the form.  Forms are usually ready in 2 weeks.

WORKERS COMPENSATION

We will treat established patients who have been injured at work. Before we may see you the following information is required: Name, address, phone and fax numbers of Worker’s Compensation Carrier. Contact person’s name, phone number and extension, the claim number and the date of injury. If another provider besides a walk in or emergency room has treated you, you will need to obtain permission from your worker’s compensation carrier before being seen at APCM.

 HEALTH ACCESS RI

Health Access RI is a program offered for patients without health insurance.  For more information, please visit the following website http://healthaccessri.com/ or speak with one of our care team members.