*Required fields are marked with an asterisk.
We will be closing at 4:00PM on Halloween, October 31st.
We will re-open Thursday, November 1st, at 8:30AM.
New patients are asked to visit our website and create a patient portal account. Once an account is set up the patient should complete and submit their new patient paperwork online.
We ask that all new patients arrive at least 15 minutes prior to their scheduled appointment time (or earlier if you will be completing your forms in our office) and bring 2 valid forms of ID, health insurance card(s), records from your previous
physician (if applicable) and a list of all current medications.
No Shows/Late Cancellations
We understand that there are circumstances and/or changes in your schedule that may prevent you from keeping your appointment. If this situation arises, we ask that you call us at least 24 hours in advance, and we will gladly reschedule your appointment.
Please be advised that failure to give a 24 hour notice will generate a no show/late cancellation letter.
Multiple missed appointments/late cancellations may be grounds for dismissal from our practice. In the event that you have a special circumstance regarding your missed appointment, please contact our office manager.
Any patient arriving fifteen (15) minutes late to his/her appointment will be considered late and may need to reschedule. Below are circumstances associated with the late policy:
If a patient calls to notify the practice they will be fifteen (15) or more minutes late for their appointment, the patient will be asked to reschedule their appointment due to the Late Arrival Policy. A QFP staff member will do this over the phone.
If the patient presents to the office fifteen (15) or more minutes late, the front desk staff will need to check with the doctor to see if the patient is able to be worked into their schedule. If the provider is able to see the patient, the patient
must be aware that there will be a wait associated with being worked back into the schedule, and we will only be able to address one issue at that appointment. All other issues will need to be scheduled at a different time. If the provider is
unable to work the patient into their schedule, the patient will be asked to either see a different provider or reschedule.
Transferring Records to Quality Family Physicians
The patient may complete the Record Transfer Request form, in person, at the time of registration, or the form can be downloaded from our patient portal and
completed ahead of time. Assistance is rendered, if needed. Our practice will ask for a contact name, telephone number and fax number. The request will be sent to the Medical Records Department of the previous practice. Once received, the
patient's records will be scanned into the EMR.
Transferring Records to a New Practice
All requests to transfer medical records to another practice must be received in writing and signed by the patient or legal guardian. The patient may download the Record Transfer Request form and send it to our Medical Records Department. Please allow at least 5 business days for processing. Our office will forward records directly to a new provider at no charge.
Referrals to Specialists
Referral requests for established patients can be made through the patient portal or by calling our office and will be processed with 3 business days.
Medication refill requests can be made through the patient portal or by calling our office and will be processed by our staff within one business
day. Controlled substances are only issued by written prescription from your provider. If there is a medical indication, or if you are overdue for a check-up, we will require an appointment prior to refilling medications.
ID Requirements for Pick Up
We require photo ID or two forms if identification to pick up any and all patient information.
Insurance companies require us to collect co-payments at the time of service. Since each employer group has different co-pay amounts, we ask that you know your co-pay. We accept cash, checks, Visa, MasterCard, Discover and American Express.
Your insurance policy is a contract between you and your insurance company. It is the patient's responsibility to know the details of their insurance policy. We expect payment of any past due balances at the time of service. If it is necessary to
make other arrangements, our office will be glad to work with you to setup a payment plan. Past due accounts will be placed with a collection agency. You will be responsible for all costs of collection which may include collection fees, attorney
fees, and any other fees charged by the collection agency including but not limited to a fee for partial payment made on the past due account.
For security compliance we can no longer take credit card payments over the phone. We ask that you use the Pay My Bill link found on
our home page to pay your invoices via a secure third-party vendor.
Motor Vehicle Accidents/Personal Injury
The patient is responsible for the balance in full at the time of service. Any settlement received from the insurance company will be handled by the patient, the insurance company, and/or the attorney.
Authorization for Treatment
Any child under the age of 18 years old cannot be seen by a doctor without consent to treat from a parent or legal guardian. The consent includes being seen for an office visit, vaccinations, medications and minor procedures. If the minor arrives
with someone other than a parent or legal guardian, we must have written permission from the parent or legal guardian that this person has been appointed by the parent or legal guardian to act on their behalf.
Children over 12 years of age can legally be seen for "sensitive services": problems related to mental health issues, sex, drugs or alcohol without the permission of their parents or guardian and without an accompanying adult.
Insurance Guidelines Regarding Lab Work and Other Testing
Your physician may order tests and/or procedures that they deem medically necessary. It is the patient's responsibility to verify coverage with their insurance carrier. Any remaining balance will be the patient's responsibility.
We participate with most major health insurance plans in DE including (but not limited to):
Highmark Blue Cross Blue Shield
Highmark Health Options (existing patients only)
Independence Blue Cross (AmeriHealth, Keystone, Personal Choice)
**Please note our office does NOT participate with United Healthcare, Caritas, Unison or Cigna Healthspring (fka Bravo)**
We provide equal access regardless of the source of payment. Uninsured patients are referred to the Health Insurance Marketplace for assistance in obtaining coverage. Please visit www.healthcare.gov for more information.
All of our incoming calls are answered by our daytime auto-attendant during the following hours: Monday, Tuesday, Thursday, Friday 8:30am-4:00pm, Wednesday 11:30am-7:00pm. We ask that all routine calls be made within these time frames. For a breakdown
of extensions please visit our Contact Us page. After hours calls are taken by our after hours auto-attendant. If you have a medical emergency that
cannot wait until the office reopens, dial the number to our office, and you will have the option to leave a message for the on-call physician. PLEASE NOTE: This is for urgent matters only. Our physicians reserve the right to hold all non-urgent
messages for the office when it reopens.
Electronic Medical Records
All patient health information is maintained withing our electronic medical record system. This practice adheres to the federal HIPAA guidelines to ensure the safety and privacy of your medical information.
We strive to exercise the highest level of patient satisfaction within our practice and make every effort to provide prompt medical care to all of our patients. If you have any suggestions or comments for our office, please let us know. Inappropriate
behavior directed to our office staff will be investigated and a decision will be made on the next steps to be taken.
We respect and are committed to protecting your privacy. We may collect personally identifiable information when you visit our site. We will not sell, distribute or share your personally identifiable information.
Your payment and personal information is always safe. Our Secure Sockets Layer (SSL) software is the industry standard and among the best software available today for secure commerce transactions. It encrypts all of your personal information, including
credit card number, name, and address, so that it cannot be read over the Internet.
If a refund is required, please contact our office. Refund requests will be reviewed and issued on a case by case basis by management.