PIPER SPINE CARE

P: (636) 229-5900

F: (636) 229-5011

112 Piper Hill Drive
Suite 6
Saint Peters, MO 63376, USA

©2019 by Piper Spine Care

Appointment Preparation Checklist

PSC Appointment Checklist

 

  • Completed patient forms

  • Valid form of identification

  • List of all your medications

  • Insurance card

  • Insurance Referral (if required)

  • Payment (cash, check, Visa, Mastercard, Discover or American Express)

  • Phone and fax numbers for your referring doctors and primary care physician

  • MRI or x-ray films and all other records related to your injury or condition

Appointment Preparation Information

  • Please arrive 30 minutes prior to your appointment. Failure to bring your MRI and/or x-ray films and any records related to your spine/orthopedic injury or condition may require rescheduling your appointment.

  • Please remember to list all your prescription and nonprescription medications (including herbal or alternative), plus the dosage.

  • If your insurance requires a referral from your primary care physician, we must receive this before your scheduled appointment.

  • Co-pays, and/or all other amounts not covered by your insurance must be paid at the time of your appointment; deductibles are collected prior to surgery (if surgery is needed). If you are a “Self-Pay” patient, please be prepared to make full payment or your appointment will be re-scheduled. We accept cash, check, Visa, MasterCard, Discover and American Express.

  • All FMLA/Employer and Disability Insurance forms are subject to a $35 processing fee and must be paid before receipt. Please leave forms at the front desk and allow seven to 10 business days for completion.

  • If you need to cancel your appointment, please do so within 24 hours of your appointment. No-shows will be charged a fee of $25.

  • In order to respect the time of each and every one of our patients, your appointment will be rescheduled if you are over 15 minutes late for your appointment.