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Telephone Calls | Billing | |
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The Patient - Doctor Relationship
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Appointments | Insurance and LegalForms | |
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Emergencies | Release of Medical Records | |
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Patient Registration | Second Opinions | |
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| The Patient-Doctor Relationship ADULTS - generally prefer to come to the examining room alone. In this way freedom in the patient-doctor relationship can be established. The doctor-patient relationship is confidential. For this reason, in most circumstances, we will not give information regarding a patient to others without written authorization from the patient. However, this decision is left up to the parties concerned. Certain procedures, such as hernia or varcose vein operations can be performed at Northwestern Memorial Hospital or an alternative outpatient surgicenter. CHILDREN
- At Northwestern Memorial Hospital Dr. Vazquez treats only patients
older than 16 years of age. Children under ther age of 16 years are
referred to physicians at Childrens Memorial Hospital or the Evanston
Hospital. TOP |
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| Surgical
care is available 24 hours a day, 7 days a weeks. Attending staff coverage
is arranged with other physicians for any time when Dr. Vazquez cannot
personally attend to your needs, such as, during a vacation period.
TOP |
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| For sound
medical reasons, and the comfort of others, you are asked to refrain
from smoking while in our office. TOP |
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| Office visits are arranged by appointment only. The office telephone number is 312-649-6562. You may call the office Monday through Friday 9.00 am to 4.30 pm to schedule an appointment. Regular office visits are scheduled for Monday, Wednesday and Thursday 9.00 am to 12 noon and 1.30 pm to 4.30 pm. However, patients do not become ill on schedule, operations may take longer than anticipated, emergencies do occur, and a delay may result. A sincere attempt is made to adhere to the appointment schedule. Try to call for an appointment at least two weeks in advance. This should enable us to schedule an appointment time convenient for you. Please do not ask that other members of the family be examined at the time of your appointment. This would interfere with the schedule of other patients. If you
cannot keep an appointment, at least 24 hours notice would be appreciated.
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| Seriously ill patients or those patients with emergencies will be seen as soon as they arrive at the office or the hospital. This may necessitate an interruption of the regular schedule. If this occurs, we will attempt to inform scheduled patients of possible delays. In the event of an emergency during business hours (Monday through Friday 9.00 am - 4.30 pm) please enlist the help of the office staff to locate Dr. Vazquez. If you have a medical emergency after hours or on the weekend, Dr. Vazquez is available through the anwswering service at Northwestern Memorial Hospital at (312) 915-8132. If you are injured or urgently ill and must be seen immediately by a physician, please go to the Emergency Room (ER) at Northwestern Memorial Hospital - Feinberg Pavillion, 1st floor, Erie Street at Fairbanks Court. The ER is staffed by specialists in emergency medicine. Specialty residents from the surgical service are on call for your emergency care. The Emergency Room staff will locate Dr. Vazquez and inform him of your condition. Please inform the staff that Dr. Vazquez is your physician. TOP |
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| In an attempt to treat patients courteously, Dr. Vazquez cannot leave a patient in the examining room to answer every phone call to the office. However, please do call the office if you have a question or a concern, or if the doctor has asked you to call to receive a report on test results or medication. The Office Assistant has been trained to answer many questions by referring to your chart. If you or the Office Assistant require the doctor's opinion, you will be advised to expect a return telephone call from the doctor. Please leave specific information as to how and when you may be reached by phone. Please remember that many diseases have similar symptoms. For this reason, most requests for treatment will require an office examination. Also, medications cannot accurately be prescribed for a problem which has not previously been evaluated. Requests for prescription refills should be made only during office hours because your chart must be reviewed. If you
need to speak with the doctor directly, he will be available during
regular office hours Monday, Wednesday and Thursday 9.00 am to 5.00
pm to accept or return your phone call between patient visits. At other
times please leave your message with the Office Assistant and your call
will be returned usually by the end of the day. In case of anemergency
the doctor will return your call as soon as possible. If you have not
heard from him within one hour please call again. TOP |
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| New patients will be asked to fill out a Patient Registration Form. A portion of this information is confidential and will be released only upon your written authorization. You may
be asked to complete a MEDICAL
QUESTIONNAIRE related to you medical history. These questionnaires
were designed to give the doctor important information regarding the
background of your problem and any previous treatment. Completion of
this questionnaire gives you a chance to organize your thoughts and
tell the doctor about the symptoms, history and treatment of this complaint
and past illnesses, and other pertinent medical history. |
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| Dr. Vazquez
will usually call you to inform you of significant abnormal laboratory
results. If you have not been informed of the test results within ten
days, please telephone the office. Remember, the secretarial staff is
not permitted to interpret laboratory data. TOP |
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| For Office Calls We expect fees for initial office visits and follow-up office visits to be paid at the time the services are provided. Our office will file claims for those patients who require operative procedures. Those patients who have only office visits are expected to file their insurance claims themselves, the exceptions being, BCBS, Medicare and I.D.P.A. patients. Also the managed care patients who have a co-pay need only make the co-payment at the time of service delivery. The fee for examinations is usually between $100 and $300 depending upon the services provided. An additional fee is charged for any laboratory tests performed. Patients who are referred to this office from the Emergency Room for follow-up care (i.e. suture removal) are expected to pay for the services at the time of the office visit. This office will NOT send out monthly statements to patients for any of the above described professional services. You will be furnished with one itemized completed statement and a receipt at each office visit. It is the patient's responsibility to secure payment from ALL third party carriers. Collection of insurance benefits is not the responsibility of the physician or the office personnel. For Hospital Admissions and Outpatient Surgical Procedures Should your care require hospitalization, we will make arrangements for admission. Outpatient surgical procedures are also performed in the operating suite or at 900 N. Michigan Avenue surgery center. You will receive charges from the hospital or surgery center for the use of the facility plus a separate bill from Dr. Vazquez for his professional services. In the event that you require an operative procedure be performed, the office will bill your insurance company for the operation only. If the insurance company has not made payment within sixty days from the date of operation, the balance becomes the patients responsibility. For your convenience, the office accepts Visa, Mastercard, and the Discover card. Any balance outstanding after 90 days is automatically forwarded to our collection service unless prior arrangements have been made. Questions
about your hospital bill should be directed to the hospital billing
department. Questions regarding surgicenter bills should first be directed
to their billing department and brought to Dr. Vazquez's attention if
problems persist. TOP |
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| PLEASE
bring your INSURANCE CARD with you to the office for your first visit.
If a decision has been reached that you will be admitted to the Hospital
for a surgical procedure, upon discharge an itemized standard Health
Insurance Claim Form will be sent to your insurance company. You will
be asked to sign a release and assignment of benefits for your insurance
company on your first visit. We will also need you to supply us with
the mailing address for your claim form. Once again statements are due,
paid in full within 60 days of your hospital surgery date. We are happy
to assist you with your reimbursement from your insurance company. If
you have any questions or would like to make other arrangements this
MUST be done before your scheduled procedure or sclerotherapy session.
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| No confidential
information will be released to any person or agency without prior written
authorization of the patient to do so. At times if it should be necessary
to mail an entire chart there would be a nominal charge for this service.
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| Some insurance companies require that the patient obtain a second opinion before scheduling a non-emergenecy elective operation. Please check with your employee benefits representative or insurance company to determine if a second opinion is required to retain full insurance benefits. We can provide the name of a physician who can supply a second opinion. TOP |
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Richard
M. Vazquez, M.D., RVT, F.A.C.S.
201 East Huron Street Suite 11-250 Chicago, Illinois 60611 (312) 649-6562 Fax: 312-649-9027 Please
feel free to e-mail Dr. Vazquez
with any medical questions, or
contact our office with any other
questions.
Web
Manager
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