New Patient Appointment Letter

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8330 Naab Road, Suite #340
Indianapolis, IN 46260
JEROME BARNES, MD
THOMAS HOLIAN, MD
EDWARD MINTZ, M.D.
MIKE SHAPIRO, M.D.
WILLIAM BYRON, MD
SUNIL JHAJHRIA, MD
KHALED NAZZAL, M.D.
JON SIMALA, M.D.
ANDREW FISCHER, MD
HEATHER MISRA, MD
BRANDON PERKINS, D.O
BRENT TONEY, D.O.
MOHAMED HEIKAL, MD
MOAYYED MOALLEM, MD
MITCHELL A. PFEIFFER, M.D.
K. PRAVEEN VOHRA, M.D.
PHONE NUMBERS TO REACH US:
IF YOUR CALL IS URGENT:
If you are having chest pain or shortness of breath, please tell the operator your call is
urgent and you need to speak to a nurse. If your symptoms are severe in nature (unrelieved chest pain), go to the nearest
emergency room.
317- 338-5100
Press 2 for scheduling
800-266-1184
Toll free number
317-338-5101
Fax
APPOINTMENTS:
 Our office is open Monday through Friday 8 am -12 pm and 1 pm -4:30 pm
 Please complete the enclosed forms in full, and bring them with you when you come for your appointment.
 You may also complete and print your forms by visiting our website at:
o http://www.stvincent.org/Pulmonary-CriticalCare-Sleep-Forms
 Please bring your insurance card (s) at every visit because a copy is needed to accurately bill your insurance company.
 Please bring a current list of your medications, over-the-counter medications, drug allergies, and the name and phone number of
the pharmacy you use for 30 and/or 90 day prescriptions.
 If you need to cancel or reschedule your appointment, please call at least 24-hours before your appointment. If you are late for
your appointment, you may be asked to reschedule so that we can provide the best care you have come to expect.
*PULMONARY PATIENTS  Please bring a CHEST X-RAY or CT OF CHEST (PREFERABLY ON A CD) that has been taken no more than 3 months
prior to your appointment with our office.
 If you are pregnant, you are not required to have a chest x-ray taken.
*SLEEP PATIENTS - If you have a CPAP Machine, please bring it with you.
MEDICATIONS:
 For refills please leave your message at the extensions indicated above for your physician’s medical assistant at least 24 hours
prior to your need. Be sure to include in your message: name, date of birth, daytime phone, dose and frequency of the
prescription, the pharmacy name and phone number. Most prescriptions will be called into your pharmacy within 24 hours. We
can electronically send your prescriptions directly to your pharmacy including mail order. Please leave the name and phone
number of your pharmacy for processing.
 Limited amounts of sample medications may be provided to determine your tolerance to a new prescription.
 We cannot offer sample medications on a month-to month basis.
PERSONAL HEALTH INFORMATION POLICY:
In an effort to protect the privacy of your personal health care information, the government has enacted federal laws (HIPAA). We
apologize for the inconvenience and frustration this may cause, however, we are committed to compliance with all laws. Therefore, we
have put these mandated processes into our office to protect your privacy.
YOU ARE IMPORTANT TO US:
You may receive our voicemail when contacting your physician’s medical assistant. Just leave a message and be sure to include your
name, date of birth, daytime phone and a brief description of your needs. We will call you before or within 24 hours.
BILLING OR FINANCIAL CONCERNS:
If you have questions about your statements, insurance coverage or need to make financial arrangements, please contact our Central
Billing Office at 317-228-5387 or 800-270-4788.
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