Edison Square Family Medicine provides new and existing patients the following forms for download to fill out and bring to your appointment as requested.
Release of Medical Records
Pharmacy and Medications
We utilize electronic prescriptions to assure that you receive the best service possible. We will be glad to electronically transmit your prescriptions to one of our CMC Rx pharmacies or the pharmacy of your choice. We encourage you to secure refills at the time of your office visit. If you need to request a refill between visits, contact your pharmacy directly. Prescriptions and refills are only handled during office hours.
Lab Test Results
Test results, including biopsies, normally take four to seven business days. A clinical assistant or physician will contact you by letter or phone with results. If you have not heard from someone within a week regarding your lab results, please call our office and we will be happy to provide them.
Billing and Insurance
Edison Square Family Medicine accepts most major insurance carriers and will assist you in filing claims for healthcare services. Should you have any questions about any insurance or billing issues, please call our office during normal business hours.
Co-payments, deductibles and co-insurance amounts are due at the time of service. We accept cash, personal checks, Visa, MasterCard and Discover cards. Once your insurance company has responded, any remaining amount you owe will be billed to you at your home address. Please remit any payment due within 30 days. If you need to make special arrangements concerning your bill, please call the office prior to your appointment. If you have questions about a bill you have received, please call the number on the statement.
Medicare and most private insurance companies are accepted. Please remember to bring your insurance cards to each visit so we may file your insurance properly.
If you have coverage provided by Medicaid, you will be asked for your card and any co-payment at each visit.
We request that full payment or co-payment, if applicable, for all office visits, services and related tests is made at the time services are rendered. Please remember that payment of medical services is your responsibility and the agreement with your insurance company to pay medical costs is a contract between you and that company.
Insurance claims will be filed for most office and hospital surgical procedures. Patient deductibles and co-payments however, are due at the time of service. Patients will then be billed any remaining balance after the insurance company payment is received by our practice. We welcome any questions you may have about our fees or insurance system.