Thank you for choosing Artisan Pediatric Eyecare as your vision care provider. We look forward to building a long term physician-patient relationship with you and your family. Your clear understanding of our Patient Financial Policy is an important part of that relationship.
Patient Responsibility:
It is your responsibility to notify our office of any patient information changes (name, address, home phone or cell phone, insurance, etc.). Please let us know of any changes at least 72 hours in advance of your appointment. This allows time for us to better assist you with insurance eligibility, co-pays and co-insurance.
Only the parent or legal guardian may sign the Consent to Treat documentation for the minor child (any child under the age of 18). If the parent or legal guardian is not present to sign the necessary documentation, the appointment will be rescheduled.
Regardless of any personal arrangements that a patient might have outside of our office, if you are 18 years of age or older and receiving treatment, you are responsible for payment at the time of service. Our office will not bill any other personal party.
Foster parents: Please bring the “Responsible Party for Medical Expenses and Consent for Treatment” letter provided by the Idaho Department of Health & Welfare to the appointment. If you do not have this documentation, please make arrangements with the child's caseworker to sign the necessary documentation prior to the appointment.
Bring a current insurance or enrollment card to each appointment.
Bring a method of payment (cash, debit card, credit card) to each appointment.
REQUESTS FOR MEDICAL RECORDS:
Our office provides one copy, upon request, of your medical record at no charge. You may request that this copy be sent to you or forwarded to another doctor's office. Patients requesting additional copies will be charged:
A special handling fee of $35.00 will be charged if records must be delivered within 48 hours of the request.
- $10.00 – under 20 pages
- $15.00 – 21 to 30 pages
- $20.00 – over 31 pages