CHI Memorial Medical Group

Helpful Information

It’s important to be an active in your medical care, therefore we encourage you to talk openly with our health care professionals. If you receive care outside of the practice or notice a change in your health please let us know so we can work together to improve your medical outcomes.


Bring a list of all of your medications (over the counter, vitamins, natural or herbal) along with  the dosage and directions to every visit with your  provider. Bring a list of your health concerns for  your provider to address on your next visit. Bring a  list of the names, date of treatment(s), and contact  information of any health care provider previously  seen.

Questions for the provider — Please review  your list of questions and ensure the top three  were addressed during your visit.

Please arrive 30 minutes prior to your appointment time. Our goal is to have you in the  exam room at your appointment time. Thank you  for your assistance in helping us make our office  run smoothly.

Late Arrival for Appointments — It is our policy  in order to help with our appointment wait  times we must ask that you are no more than  15 minutes late to your appointment. We realize  emergencies, traffic, etc. can happen occasionally  and we always try to  accommodate you when we  can.

Follow-up Appointments — Please schedule  your follow-up appointment prior to leaving  the office.

Canceling Appointments — Please notify us no later than 48 hours of a cancellation. Appointments not cancelled prior to 48 hours
are subject to a cancellation fee of $50.00. Canceled appointments help us ensure availability for patients who need urgent care, therefore please inform us of canceled appointment.

Lab work, x-ray or special test

If you have lab work or testing performed during your visit, please do not call the office for your results. The nurse will call you regarding the results within 10 business days. If you have additional questions please schedule an appointment to review the results. Please do not call the office unless you have not received results after 10 business days.

Leaving a Message

Please select your nurse’s line for medication refills delayed lab/test results or non-urgent health concerns. Please speak clear and slow and provide your full name, including spelling of name, phone number, date of birth, and reason for call. If the message is referring to prescription refill please provide medication, dosage, pharmacy name and phone number. Nonprescription messages must include symptoms, onset of health issue and home remedies you have tried.

Patient Rights & Responsibilities

Patient Rights

  • Access to considerate and respectful staff
  • Access to the roles of staff providing treatment and information about your health care
  • Access to your medical records, which require a 24 hour notice and a written form for release
  • Access to health care rules and regulations that affect you, your treatment, charges, and payments
  • The ability to consent or refuse treatment, as permitted by law

Your health information is kept confidential unless written consent is provided, preexisting guidelines established with healthcare insurance, or in case of a medical emergency.

Patient Responsibilities

Providing information about your health, medication, insurance, contact information, past illness, hospital stays, family or social history that may impact treatment or medication, and payment of fees not covered by insurance.

Update your personal information — Please bring your insurance cards, driver’s license and any documentation regarding change of legal name. Ensure address, phone number emergency contact and email address are up to date. We use the information in our system  or appointment reminders, lab results therefore please ensure all information is correct.

Prior Authorization, FMLA, Disability or other legal forms — Bring your insurance company’s Prior Authorization form with you to all appointments. Bring FMLA, Disability or Medical Supply forms with you at your next appointment. Allow 72 hours after the appointment to complete the forms. Please arrange for pick-up of all forms. In the event of a denial for prior authorization for procedure, medication,  etc. please contact your insurance company for additional information.

Prescription Refills

Please notify the provider of all medications requiring refills during your scheduled appointment. All refills are subject to provider approval. Refills for a controlled substance must be provided at an appointment every 30 days. No refills for controlled substance will be  filled outside of your appointment. All after hours refills (except controlled substances) will be limited to a 3 day supply. Please schedule an appointment to obtain your medication refills.