SEVEN HILLS FAMILY PRACTICE CLINIC

Patient Information
After Hours
Call 911 immediately for any life threatening emergencies. If you have any concern that you may have a life-threatening condition, call 911 immediately. Examples of life threatening emergencies include (but not limited to):
- Difficulty breathing, shortness of breath
- Severe Chest Pain or upper abdominal pain or pressure
- Seizures
- Unresponsiveness when talked to or touched
- Bleeding that wont stop
- Choking
- Suicidal or homicidal feelings
- Unexplained severe headaches
The physician is available on-call after office hours by phone for urgent but NOT life-threatening medical issues. Please call our office phone number and follow the instructions.
Medication refills are not considered an emergency. Please call us during our normal business hours for any refill requests.
New Patients
Each new patient will asked to complete a registration form and Past Medical History form. Please arrive 20 minutes before your scheduled appointment to complete the registration and any other necessary paper work. You may print out the forms in advance from our forms section and bring the completed form.
Please bring your current insurance cards (including Medicare / Medicaid paper) along with the required Co-payment, co-insurance, or deductibles as required by your insurance company.
Insurances
We accept a wide variety of insurances including Medicare and certain Medicaid plans. We are constantly reviewing new insurances to be added to our list of insurances that we accept. The following the list of insurances that we currently accept:
| Accountable Health Plans of Texas |
| Aetna (HMO, POS, PPO, Golden Medicare HMO, Golden Choice Medicare PPO) |
| AmeriGroup (CHIP, Texas Star, Texas Star+Plus) |
| Amerivantage (Medicare HMO) |
| BCBS (Blue Choice PPO, Blue Choice Plus POS) |
| Beech Street |
| Bravo by Elder Health (HMO) |
| ChoiceCare Network (PPO) |
| ChoiceCare/Humana (Medicare Advantage PPO) |
| Cigna (HMO, PPO, Open Access Plus) |
| Coastal Comp Health Network (PPO) |
| Coventry Advantra Medicare |
| Evolutions Healthcare Systems |
| First Health (PPO) |
| Galaxy Health Network (PPO) |
| Great-West (HMO, POS, PPO, One Plan) |
| Guardian |
| Health Payors Organization |
| HealthSmart Preferred Care (PPO) |
| Humana (HMO, PPO) |
| Independent Medical Systems |
| Integrated Health Plan |
| Medicaid Tradional Plan |
| Medicaid Managed care Plans (Amerigroup, Texas Health Steps, Texas Childrens Health Plan-TX CHIP) - NO TX STAR |
| Medicare |
| MultiPlan (PPO) |
| National Provider Network |
| PacifiCare (HMO, PPO) |
| PHCS (PPO) |
| ppoNEXT |
| ProNet (PPO) |
| Secure Horizons (Medicare) |
| Texas Childrens Health Plan (TX CHIP) (HMO) |
| Texas True Choice |
| Three Rivers Provider Network (PPO) |
| Unicare (HMO, Classic PPO, Pref. PPO) |
| United Healthcare (EPO, HMO, POS, PPO, Select, Select Plus) |
| USA Managed Care Organization (PPO) |
| USFHP (HMO) |
| WellCare of TX |
Please bring a current copy of your insurance card so that your claims can be submitted to the correct entity for processing and payment.
Payment Policy
For patients with insurances, all co-payments or co-insurances or deductibles must be paid at the time of service. This arrangement is part of your contract with your insurance company.
For your convenience, we accept Master Card, Visa, Discover, Debit, and American Express. At this time, we do not accept any personal checks, however, we accept debit card payments.
Please keep in mind that your insurance benefit is a contract between you and your insurance company. Please be aware that some and perhaps all of the services you receive may be non-covered as per your insurance policy.
Appointment cancellations
As a courtesy to other patients and the physician, we request that you to give us at least 24 hour advance notice for cancellations of any appointments so that slot can be provided to patients who need to be seen by the physician.
Refills
To request a refill, please call our office during normal business hours. Please have the name of the medication along with the fax and phone number of pharmacy to which the refills are to be sent. Please note that some pharmacies may require refills to be completed in their own prescription forms. Refill requests are usually processed within 2 business days.
Please be aware that, depending on your medical condition, physician might request to see you to provide the refills. Please note that new prescriptions and antibiotics will not be prescribed over phone. Also, narcotic medication will not be prescribed over the phone or outside the normal working hours.
Release of Medical Records
The information contained in your medical record is strictly confidential. We value the trust you place in us to keep this information confidential and will not release information without appropriate authorization signed by the patient or legal representative. Authorizations are accepted only in person.
Please bring a valid form of identification (e.g. driver's license, passport, or any government issued id card) and any other supporting documentation (e.g. Power of Attorney, Legal guardian papers).