Mesa Family Physicians Office Policies and Procedures
 
Welcome to MESA FAMILY PHYSICIANS. Our goal is to deliver the best possible medical care to all of our patients in a compassionate, professional manner. We hope this following information will help you answer some of your questions and help you understand how our facility operates.
 
Our office hours are:   Monday, Tuesday, Thursday, and Friday 8am-12pm
and 1pm-5pm Wednesday 8am-12pm and 2pm-5pm.
 
If you are unable to keep a scheduled appointment, we require 24 hour advanced notice. If no notice is given, you will be charged either your co-pay amount or $15.00 if you don't have a designated co-pay amount.

Payment Procedure: We are contracted with numerous insurance companies and will accept payment from your insurance company if we are contracted with them and the patient provides us with current and accurate information. If the patient fails to provide us with all the correct information, they are financial responsible for the office visit charges. We ask you to pay your co-pay at each visit. This is a requirement of your insurance and we do not bill for co-pays. Please do not ask us to do so. If you do not have insurance, you are responsible to pay in full at the time of service. We accept cash, check, Visa and Mastercard. We encourage you to know your insurance plan. Due to the numerous insurance companies and various insurance plans, it is impossible for us to know each individuals' coverage. We will try to answer any questions you may have, however, please educate yourself on your insurance benefits.

Referrals: If a referral is needed, the physicians and assistants are happy to complete referrals and forward them on to the specialists you are seeing. Please call a minimum of 48 hours in advance and leave a message with the following information:

  • Specialists name
  • Date and Time of Appointment
  • Phone number and Fax number

    Without complete information, you may be required to reschedule your appointment. We strongly request that you check with your specialist before going to any appointment to make sure the referral is in place. Due to the quantity of referrals processed daily, you will not receive a confirmation call from our office.

    Prescription refills: If you need a refill of your medication, please contact your pharmacy to process the request. They will contact you when the prescription has been filled or whether an appointment is required for a refill. Due to the volume of requests, we do NOT refill prescriptions on Friday after 12pm noon. Please allow for 48 hours for notification.

    It is our desire to become your partner in caring for you medical needs. Our staff is here to serve the patient and if you have any questions or concerns, please ask.

    MESA FAMILY PHYSICIANS and Staff

    • I have read the above and fully understand its contents.
     
    Patient or Responsible Party:  
     
    Date:  
     
    PRINT FORM | CLOSE