NEW PATIENTS

New patients must fill out a PATIENT REGISTRATION PACKET. Please download the following forms by clicking on the links below and bring them to our office:

Patient Registration Form
Medication History Form
REA Financial Policy Form
HIPAA Form

Please bring the completed and signed forms to your appointment. Completing these forms prior to your arrival will help expedite your care. Please arrive at least 15 minutes prior to your scheduled appointment to allow time for updating information. NEW PATIENTS MUST ARRIVE 30 MINUTES PRIOR TO YOUR APPOINTMENT TIME TO ENSURE ALL DOCUMENTATION IS COMPLETE OR RISK LOSING YOUR APPOINTMENT.

Please remember to bring your Insurance Card and a valid Driver’s License or government-issued photo ID.

OFFICE HOURS

Our office is open Monday-Friday 8:00 AM to 5:00 PM. We are closed on most major Holidays.

 

MAKING AN APPOINTMENT

Patients are seen by appointment only. To make an appointment, please call our office between the hours of 8:00AM and 5:00 PM Monday through Friday.

 

REFERRALS

If you have been referred by another provider, please download this form and have your referring provider’s office complete it and fax to (919) 954-3365.

 

CANCELLATION POLICY

As a courtesy, we attempt to contact every patient to remind them of their appointment. However, it is the responsibility of the patient to arrive on time. If you arrive more than 10 minutes past the scheduled appointment time, you may be asked to reschedule. ALL CANCELLATIONS MUST BE RECEIVED 24 HOURS IN ADVANCE. Patients who do not cancel their appointments at least 24 hours in advance will be charged a “No-Show” fee. The no show or same day cancellation fee for new patients and re-consultations will be $100.00. The no-show or same day cancellation fee for regularly scheduled follow ups will be $75.00.  Monday appointments must be canceled by noon the preceding Friday to avoid the cancellation fee.

 

CO-PAYS AND COLLECTIONS

All Co-pays are due at the time of service. We are unable to discount or waive this fee due to our contract with your insurance. Payment is due in full at the time of service for any self-pay patients, for services that are considered “non-covered” and for patients who have an annual deductible that must be met before their carrier will pay benefits. If you are not able to make a payment, you may be asked to reschedule your appointment. Returned checks are subject to a $30 service fee. Accounts more than 90 days past due will be turned over for collection.

 

PRESCRIPTION REFILLS

Raleigh Endocrine Associates is now using electronic prescribing. Please contact your pharmacy and ask them to send us an electronic refill request. This will be the fastest way to get your prescription refilled. If your pharmacy is not set up for electronic prescription, please provide your pharmacy with our fax number: (919) 954-3365. They will fax the necessary information directly to us. Please allow two business days for all requests to be handled. If you have an emergency, please call the office and let them know the nature of the emergency. Do not leave voicemails for any emergency.

 

SAMPLE POLICY

Raleigh Endocrine Associates is provided limited samples by pharmaceutical companies. The purpose of these samples is to give providers the ability to initiate new treatment and determine the appropriateness and dosage of treatment for each particular patient. Samples are not provided with the intention of replacing your pharmacy.
Raleigh Endocrine Associates has also seen the number and quantities of medications drastically reduced by all pharmaceutical companies. Therefore, all samples will be given to initiate new therapies at the time of visit only.

Raleigh Endocrine Associates will not be accepting call in or walk in requests for samples. If you are in need of medication, we would be happy to call in a new prescription to your pharmacy. If you can not afford your medications, please inform your provider or nurse.

Please ask your pharmacy to send in a refill request. If there are any other issues you can speak to your nurse directly.

We appreciate your understanding.

 

TEST RESULTS

Test results may take up to 10 business days. If you have signed up for a Portal Account, your labs will be sent to the Portal as soon as they have been reviewed by your provider. Lab results may post individually to your account and without notation. Please make sure you read any accompanying messages as they will contain the instructions from your healthcare provider.

You may also be contacted by phone or regular mail. If you have not heard from our office within two weeks of your test and have concerns, please call the office for assistance. If you have any further questions once receiving your results please do not hesitate to call.

Please note: Replies to posted lab results within the Portal are not set up to return to our office and will not be received.  Please call or use the Portal secure messaging feature instead.

 

REQUEST FOR MEDICAL RECORDS

We will release Medical records with a written authorization only. There may be a charge for each request according to North Carolina statute. Medical records fees are $30. Medical forms that require a provider signature are subject to a $20-$60 fee.

Please download this form, complete, sign, and mail or fax to our office at (919) 954-3365. Medical Records form requires patient’s signature.