Office Policies
Thank you for choosing Family Medical Associates, PC, offices of Dr. Dhamy Sivamohan. We realize that you have a choice in medical providers and are pleased that you have chosen to seek care with us. The staff at Family Medical Associates strives to exceed expectations in care and service in order to make your experience with us as comfortable and stress-free as possible. Our goal is to provide quality medical care in a timely manner. In order to do so we have implemented an appointment/cancellation policy. The policy enables us to better utilize available appointments for our patients in need of medical care. Please feel free to contact our office if you have any questions regarding our policies. All new patients are encouraged to thoroughly review all documents and informations on the practice website, at FMA-PC.COM, along with getting web enabled to the patient portal, for the most value.
Office Hours
Our office is available Monday, Tuesday, Wednesday and Friday 9:00 a.m. to 5:00 p.m., Thursday 9:00 a.m. to 2:00 p.m., and on first Saturday
of each month, by appointment. You may reach us at 812-752-4001. Our Physician is available
after hours 24 hours per day/365 days per year by calling our phone number and following the
prompts. If you need an appointment, prescription refill or test results, please login to the
patient portal. If not, please call the office at the
same number.
Urgent Care
For acute illness that need unscheduled medical attention, we try to accomodate most requests
within 3 hours during normal business hours, on a WALK IN basis.
Appointments
Family Medical Associates is committed to providing quality care to our patients. To ensure
timely continued care, we encourage patients to schedule appointments in advance of follow-up
due dates. When calling for an appointment, please provide your name, telephone number, chief
complaint/reason for visit, as well as any updated contact or insurance information. While we
strive to schedule appointments appropriately, emergencies can and do occur in Primary Care.
We strive to give all of our patients the time that they require. For this reason, we kindly request
your patience and understanding should a delay or rescheduling become necessary on your
appointment date. To ensure quality care, Family Medical Associates, does not treat patients we
have not seen (i.e., we will not call in prescriptions or offer medical advice for patients prior to
their initial visit). Follow up may be required to be scheduled after testing has been completed, so
that results may be reviewed together, so an effective and appropriate plan for your healthcare
can be determined.
We encourage you to schedule appointments well ahead of time, for preventative health visits,
physicals, pap exams, chronic medical conditions, prescription renewals and sick visits.
Cancellation of Appointment
In order to be respectful of the medical needs of our patients please be courteous and call Family
Medical Associates promptly if you are unable to attend an appointment. This time will be
reallocated to someone who is in need of treatment. This is how we can best serve the needs of
our patients.
If it is necessary to cancel your scheduled appointment we require that you call one (1) working
day in advance. Appointments are in high demand, and your early cancellation will give another
person the ability to have access to timely medical care.
No Show Policy
A "no show" is someone who misses an appointment without canceling it within one (1) business
day in advance. No-shows inconvenience those individuals who need access to medical care in a
timely manner. A failure to present at the time of a scheduled appointment will be recorded in
your medical chart as a "no show". An administrative fee of $25.00 will be billed to your
account. Three (3) "no-shows" within one (1) calendar year will result in a temporary
suspension of services. In order to reinstate services, you will be required to meet with your
Primary Care Physician within 30 days of the third no show letter to evaluate your situation. In
the event you do not respond and/or schedule an appointment within 30 days, we will consider
your patient status as terminated.
**Please note that No-Show charges are patient responsibility and will not be billed to your
insurance company.
Insurance
Family Medical Associates accepts most major insurance plans. If you have specific questions regarding your insurance, please contact our billing department at 812-752-4001. It is patient's
responsibility to inform our office of any changes in insurance coverage or demographic data.
Failure to do so could cause delay or denial of insurance payment. Patients are responsible for
co-pays/deductibles at time of service. If applicable, you will be billed for services not covered
by your insurance (as stated in your insurance contract) by our billing department. At all times
the patient is expected to keep the balance owed to under $50.00, at all times.
Payments
Family Medical Associates accepts cash, personal checks, MasterCard, Visa and American
Express. Checks can be made out to Family Medical Associates. It is the policy of Family
Medical Associates to make all reasonable attempts to collect outstanding balances should they
accrue, including, convenient payment arrangements.
Following these attempts, accounts in poor standing will be outsourced to a third party for the
purpose of collection.
Forms/Letters
We understand that at times, various forms or letters may be required to assist you with you r
healthcare needs. The staff at Family Medical Associates will be happy to complete forms and
write medical letters as necessary upon your request. However, because this can be time
consuming, please allow 7-10 days for completion of requested forms/letters.
Medical Records
Per HIPAA guidelines, copies of medical records must be requested in writing. To ensure you r
privacy, a form for release of medical information must be completed prior to receipt of these
materials. All patients can request a copy of their medical records one time, free of charge.
Additional copies may be requested at a cost of $0.75 per page. The law allows Medical Offices
30 days to complete requests for records. However, our medical records department puts for th
e very effort to respond to these requests in a timely manner.
Prescription Refilles & Pharmacy Information
Please inform Family Medical Associates of which Pharmacy you use and update us if this
should change. Please allow one to two business days for refill requests. We encourage our
patients to review their medications prior to their office appointments and to request refills at that
time, if needed.
Please note that we do not fill Narcotic Medications or order Antibiotics over the phone.
Our Practice does not routinely order Narcotic Pain Medicine, therefore you may be
required to obtain these medications through Pain Management.
Labs and Imaging
If the doctor orders any lab and/or diagnostic imaging tests, its the patient's responsibility to have them
done and the results sent to the office, in a timely manner.
Non-Discrimination Policy
Our services will never be influenced by the patient's race, ethnicity, national origin, religion, sex, age,
mental or physical disability, sexual orientation, genetic information, or source of payment.
Printable Office Policies