Services Provider Disclosure
Services may be provided in this health care facility by the facility as well as by other health care providers who may separately bill the patient and who may or may not participate with the same health insurers or health maintenance organizations as the facility.
Personalized estimates Disclosure
Patients and prospective patients may request from this facility and other health care providers a more personalized estimate of charges and other information. Patients and prospective patients should contact each health care practitioner who will provide services in the ASC to determine the health insurers and health maintenance organizations with which the health care practitioner participates as a network provider or preferred provider. Patients may pay less for a procedure or service at another facility that the provider is credentialed with. Services provided at another facility will be billed separately to the patient for facility and professional fees. Please contact the procedure scheduling team at the Gulf Coast Pain Institute to see which facilities the provider is credentialed with.
Patient Right and Responsibilities
A patient receiving care in a health care facility or in a provider’s office has the right to bring any person of his or her choosing to the patient accessible areas of the healthcare facility or provider’s office to accompany the patient while the patient is receiving inpatient or outpatient treatment or is consulting with his or her health care provider, unless doing so would risk the safety or health of the patient, other patients, or staff of the facility or office or cannot be reasonably accommodated by the facility or provider.
Patients are required to have a driver over the age of 18 years old with a valid driver’s license accompany them to the procedure and remain at the facility during the procedure. Patients should not bring any children to the facility.
“Financial Interest Disclosure: In accordance with Title 42 CFR Part 420 and where applicable, Dr Jeff Buchalter, Dr David Fairleigh and Dr Mark Larkins have financial interest and equal ownership in the facility.”