Financial Policy

Thank you for choosing Hillside Family Medicine as your health care provider. We are committed to the successful treatment of your condition. Payment of your bill is considered part of your treatment and a clear understanding of our financial policy is important to our professional relationship.

Click Here to Download Our Financial Policy

Routine Preventative Exam Financial Policy

This policy is with regard to a request for a Routine Preventative Exam (Annual Physical, Well Woman Exam, etc.). This is a specific service designed to screen for and prevent health issues. It may include a physical exam, immunization, medical tests (EKG/x-ray), counseling, and lab work depending on your individual risk factors and medical needs.

In most cases, the Routine Preventative Exam is provided by insurance under the preventative care benefits. The Affordable Care Act obligates most insurance plans to pay for this service at no cost to you.

There are important exceptions to preventative benefit coverage that are outlined in this financial agreement. This agreement will be required each year prior to receiving a Routine Preventative Exam and any associated medical tests.

Click Here to Download Our Preventative Exam Financial Agreement

Refund Policy

If you would like to request a refund for outstanding credit balances on your account, please contact our billing department:

billing@hillsidemedicine.com
(907)344-0200 option 4

E-MAIL TERMS OF USE

E-mail Disclaimer

Hillside Family Medicine will use reasonable means to protect the privacy of your health information sent by e-mail. However, because of the risks outlined below, Hillside Family Medicine cannot guarantee that e-mail communications will be confidential. Additionally, Hillside Family Medicine will not be liable in the event that you or anyone else inappropriately uses your e-mail. Hillside Family Medicine will not be liable for improper disclosure of your health information that is not caused by Hillside Family Medicine's intentional misconduct.

E-mail Risks And Your Responsibility

At the discretion of the Hillside Family Medicine, its staff, physicians and agents (Hillside Family Medicine) and upon your agreement to the terms outlined within this consent form, you may use e-mail to communicate with Hillside Family Medicine. These e-mails may contain your personal health information. If you decide to use e-mail to communicate with Hillside Family Medicine, you should be aware of the following risks and/or your responsibilities:

• As the Internet is not secure or private, unauthorized people may be able to intercept, read and possibly modify e-mail you send or are sent by Hillside Family Medicine. You must protect your e-mail account,
• password and computer against access by unauthorized people.
• Since e-mail can be used to spread viruses, some which cause e-mail messages to be sent to people who you do not intend to send e-mail messages to, you should install and maintain virus protection software on your PC.
• Since e-mails can be copied, printed and forwarded by people to whom you send e-mails, you should be careful regarding whom you send e-mails.
• As your employer may claim ownership of, or the right to access, the e-mail account issued to you by your e-mail, you should avoid using an employer issued e-mail account to communicate with Hillside Family Medicine.
• If you do provide an employer-issued email account to communicate with Hillside Family Medicine, you understand and agree that your employer may have the right to access to all email sent by Hillside Family Medicine to the account.

Privacy Policy

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