Office Policies and Forms
- BCBS of Alabama
- Before you come to your regular appointment, you should look over your medications, diabetes supplies, inhalers, etc. to determine if you need to request any new / refill of prescriptions at your appointment.
- We do require office visits on a regular basis for all of our patients taking prescription medication. The interval will vary depending on the condition being treated and the type of medication prescribed. Please be sure you have enough medication to last until your next scheduled visit.
- It is very important to request your prescriptions during your office visit.
- Please bring all your prescription bottles (or an updated medication list) with you to your appointment. This is important to make sure that:
- you are taking the correct medications and the correct doses; and
- we have an up-to-date list of your medications. We will carefully review your medications and write refills at your office visit. We will also ask you to review the new prescriptions to make sure that they are written correctly.
- As part of our new policy, we will offer the following options for prescription refills:
- We can provide written prescriptions.
- We can call in certain medication s to your requested pharmacy
- We can fax prescriptions in to a mail-order pharmacy. You will need to provide us with completed forms provided by your mail order pharmacy.
- Our policy is to call in appropriate requests for prescription refills within 2 business days (not including weekends and holidays). We will have written prescriptions available within 3 business days.
- If you call to request a refill but are overdue for a follow-up visit and/or blood work (necessary for monitoring the safety or effectiveness of a medication), the provider may agree to call in enough medication to a local pharmacy to last until we are able to schedule an office visit (two weeks maximum). It is your responsibility to schedule an appointment before you run out of medication. You should schedule your next visit before you leave our office.
- Are you changing to a new local pharmacy? You should call your new pharmacy and request that your prescriptions be transferred from your old pharmacy. We sometimes do not have to write new prescriptions.
- Are you going on an extended vacation and need to use an out-of-town pharmacy? You need to call the NEW pharmacy that you will be using and have them contact your hometown pharmacy to have your prescriptions transferred. When you return home, you have to reverse the process.
- Are you changing to a new mail order pharmacy? Some pharmacies will transfer your prescriptions to the new pharmacy. If you still have refills on your current prescriptions, please check with your current mail order pharmacy to see if your prescriptions can be transferred.
- Phone message transcribed or fax printed
- Phone message or fax is brought to medical record
- Patient's chart is pulled from medical records and verified
- Request is attached to chart
- Chart is brought to nurse
- Nurse reviews chart for pertinent information
- Verifies chart and request
- Is medication a controlled substance
- When were last labs done?
- When was patient last seen?
- Chart brought to doctor
- Doctor reviews chart
- Verifies chart and request
- Reviews patient's labs and medical history
- Does medication itself require labs or levels to be checked
- Does medication have risk for dependency or abuse
- Is medication scheduled (use and distribution restricted)
- Is there a risk for interaction with other medications
- Does medication have new FDA guidelines or recommendations
- Does the benefit of continuing medications outweigh risks
- Doctor makes decisions about whether or not to fill prescription request and whether or not to give subsequent refills
- Does patient need follow-up appointment?
- Doctor documents decision in chart
- Doctor writes prescription
- Chart returned to nurse
- Nurse calls or faxes in prescription
- Nurse documents prescription and pharmacy in chart
- Chart returned to medical records.
We are happy to welcome new patients! At this time, however, our relationship with United Health Care, Cigna, Humana, and a few other insurance networks is limited to existing patients only. If you have any questions about your insurance, please refer to the list below or contact us to ask.
To verify our physicians' participation with your insurance carrier, you may visit your insurance provider's website or call the telephone number on the back of your insurance card.
We participate in many managed care plans and see patients with traditional insurance. Below is a list of plans we are currently accepting new patients under.
Many plans require that you make a co-payment at the time of your visit. To make it as easy as possible for you, we accept cash, checks, and most major credit cards at our office.
Please bring your insurance card with you for each visit and notify our front desk prior to seeing the practitioner or lab anytime your insurance coverage changes.
If you have other insurance feel free to contact our office to verify participation.
Communication and Appointments
Getting in touch with us:
Please call us at 256-533-5211 or log-in to our patient portal if you have any questions, need a prescription refill, or need to schedule an appointment. There is a message service and an on-call physician available for non-emergency, after-hours calls that require a physician response. In cases of emergency, please call 9-1-1 or go to the closest emergency room.
Depending on how our patients choose to be contacted, appointment reminders are sent via phone, text, or email and can be verified through the patient portal. If you would like to cancel your appointment online, you must do so through your secure patient portal account no less than 48 hours prior to appointment time. Otherwise, please contact our office 24 hours prior to your scheduled visit to cancel.
Labwork and Results
Bloodwork / Lab Appointments:
In order to provide you with proper care, all lab work is to be ordered by the practitioner. There may be times when the practitioner feels it is in the best interest of the patient to schedule a return appointment to review these lab results.
Please allow 5-7 days for test results. We will contact you through the patient portal (you may receive an email or automated phone message), by mail, or by phone. At times, appointments may be required by the practitioner to review these results with you.
Third Party Forms
We realize that special forms are sometimes necessary to provide documentation of medical conditions. Completing forms is time consuming and generally falls outside the contractual relationship between you and your insurance company. All forms requested without an appointment will need to be reviewed by the office to determine if an appointment is necessary. Please drop them by the office with a phone number so we can contact you when a determination is made. Fees for these types of forms will vary according to the complexity of the paper work.
ALL FMLA papers require an appointment with one of our practitioners. Fees for completion of FMLA papers will vary according to the complexity of the case.
Blue Forms for School:
Blue cards needed for school may also require an appointment with the practitioner.
Please notify your practitioner at the time of your visit if you will require an excuse.
Payment / Financial
Payment is due at the time of service. We accept Cash, Check, Money Order and Credit / Debit Card payments.
Please keep in mind that your insurance policy is basically a contract between you and your insurance company. We have made prior arrangements with many insurance companies and other health plans to accept an assignment of benefits. We will bill them, and you are required to pay all co-payments, deductibles and non-covered services at the time of your visit.
Please review our Insurance Participation section to see what insurance we accept.
Not all insurance plans cover all services. In the event your insurance plan determines a service to be "not covered," you will be responsible for the complete charge. We will try and inform you prior to your visit if we believe a service may not be covered, but as all policies are different, this may not always be possible. Health plan coverage varies significantly by carrier, by employer, and/or by contract. We cannot know the benefits and exclusions of each patient's health plan. It is the patient's responsibility to know and understand their plan coverage and benefits. All questions regarding your policy benefits should be directed to your insurance carrier.
Nurse Practitioner Visits:
Many insurance companies do not cover visits with the Nurse Practitioner. If you are seeing the Nurse Practitioner please contact your insurance carrier prior to your appointment to avoid any unexpected expenses. Do not assume your visit is covered unless your carrier confirms these visits are a covered benefit.
We understand that there might be a situation when you do have to call us for a prescription. Please look at the list below and see what you can do to avoid incurring a prescription refill fee.
REFILLING A PRESCRIPTION
Every request for a refill requires the following steps:
Incoming Patients: Please mail this form to your previous physician to have your medical records forwarded to our office.
Outgoing Patients: If you are relocating and need your medical records transferred from our office to another physician, please complete this form and mail to our office. We will forward your records to your new practitioner.
- We are unable to release any information regarding healthcare, appointments, billing or insurance information to your spouse, parent, family members, significant others or friends without written authorization from the patient.
- If you would like us to speak to anyone other than yourself regarding any of these issues, please print the medical release to family member form and return it to our office.
- Patients over the age of 14 years must sign for themselves.
Not yet a patient? Start here.
If you are interested in becoming a patient of our office, we would love to see you! After visiting our insurance participation page to see if we accept your insurance, please visit our secure New Patient Questionnaire form at our Updox portal and complete the form to get the process started. Once this is completed and you are scheduled, we will need the following "New Patient" forms completed.
New Patient Forms
All new patients who have already scheduled an appointment, please print and complete the following forms and bring them to your first appointment. Otherwise, you can arrive 15 minutes before your first appointment so we may give you the forms to complete in our office:
Obtaining Medical Records
Living Will / Advance Directive
An advance directive is a written instruction that you make while you are mentally competent that states how you want your health care decisions to be made if you become incapacitated or cannot express your wishes. Advance directives guide your physician and other health care professionals, and relieve your family from the burden of guessing what types of care and treatment you would want to receive.
The Alabama Hospital Association makes a standard Living Will/Advance Directive form available online. You can download it here.
After you complete the form?
Make a copy of the completed and signed form and give it to the person you have appointed to make decisions on your behalf (family, friends, or health care provider) so the form is available in the event of an emergency.
And what about After-After?
In the theme of advance planning, we like to remind everyone that preparing for your family's well being in the event of your death doesn't just mean buying funeral plots and life insurance. One inexpensive alternative to planning a traditional funeral or cremation-- one that offers numerous benefits to the education of future generations (of those entering the medical profession and those who rely on medical professionals) is body donation. To learn more about becoming an anatomical donor, visit the UAB School of Medicine website.
Frequently Asked Quesitons
We forward our phones to our answering service from 12:00 to 1:00; however, our office is usually open during this time.
No, unfortunately not all insurance companies cover Nurse Practitioner visits. Our office staff will do it's best to help you determine if your policy covers nurse practitioner visits. We will make every effort to inform you of this prior to scheduling appointments.
No, Dr. Wallace has elected to use Dr. Misra to oversee her patients while in the hospital. The Hospitalist will keep Dr. Wallace informed on status her patients health.
We do require appointments, however we do have same day appointments worked into the schedule for patients with acute health issues such as sore throats, colds urinary tract infections, etc.
We have a 48 hour turn-around time on all prescription requests. Some prescription requests require an appointment with the physician or nurse practitioner. Please note, we will not write prescriptions for antibiotics without an examination by the physician or nurse practitioner. Please contact our office 1 to 2 weeks prior to taking your last dose of medication to ensure you do not miss taking any of your medications.
Please see our current list of participating insurance.
We are typically closed New Years Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, the day after Thanksgiving, Christmas Eve and Christmas Day and at times the day after Christmas.
Yes. In order for your insurance carrier to process claims for laboratory tests they have to be ordered by the physician or nurse practitioner and submitted with a diagnosis. Scheduling an appointment also helps to ensure we have staff in the office to perform the test.
If you have an emergency call 911. All other calls may be directed to the physician on call by calling our office at 256.533.5211.