Dr. Nancy Fazekas Grubb, MD, ABFM, ABIHM 4030 Massillon Rd. Ste C, Uniontown, OH 44685 (330) 699-1500, fax (330) 699-1646 Practice Policies for Patients Our goal at Optimal Health Institute of Ohio is to provide you with the highest level of personalized care. We are committed to helping you achieve optimal health. It is important to read all the enclosed information carefully and return all attached forms to our office at least 7 days prior to your appointment. This will allow us to help solve your problems more efficiently and allow you to spend the quality time with Dr. Nancy. (If your patient packet is late, it may take up to 30 minutes of your appointment time to review your records.) WEBSITE Information about Optimal Health Institute of Ohio and all relevant patient forms are available through our website, www.optimalhealthwithdrnancy.com. MEDICAL RECORDS Medical records can only be released with your authorization. You are responsible for obtaining previous medical records from other physicians or health care providers. A medical records release form is included for your use. Please contact your physician or other health care provider to obtain these records. Your records should be express mailed to Optimal Health Institute of Ohio, 4030 Massillon Rd. Ste. C, Uniontown OH 44685. VISITS If you choose to schedule a pre-visit, you will receive a 15 minute systems scan that assesses all of your body systems and helps identify areas of imbalance. A free 15 minute consult with our nutritionist Ann Dugan is also included in your pre-visit. Your initial visit will include a 50-60 minute medical consultation with Dr. Nancy. Nutritional therapy and lab/diagnostic testing are integral parts of your treatment plan. Test results are used to design your personal health care program as well as uncover the root causes of your medical condition. Nutritional supplements are often recommended and we will help you select the highest quality products. LAB TESTS Many of the tests require a 10-hour fast. You can, and should drink water during this fast. Costs of all testing will be reviewed with you by our staff before you leave. You will receive all final lab results and be guided through their interpretation at your follow-up visits. INITIAL CONSULTATION FEES Initial Consultation (50-60 minutes): $295 Initial Systems Scan (15 minutes): included in initial fee (pre-visit) Initial Nutrition Consultation (15 minutes): included in initial fee (pre-visit) FOLLOW-UP CONSULTATION FEES Extended Visit or Phone Consult (40 minutes): $150 Follow-Up Specific Scan (20 – 60 minutes): $45-$100 CONFIRMATION AND CANCELLATION OF APPOINTMENTS Due to the overwhelming requests for consultations, there is a 7 day cancellation policy for your Initial appointment. Your appointment must be cancelled at least 7 days prior to your scheduled consultation or you will be charged for the visit. There is a 72 hour cancellation policy for all follow-up appointments. You may cancel your appointment by calling the office. If calling after hours, please leave a message. Practice Policies for Patients (cont’d.) PAYMENT OPTIONS Our office accepts cash, check, or credit card (MasterCard, Visa, Discover). When you schedule your initial visit, we request a credit card be put on file to hold the appointment for you. No charges will be applied to your card unless you miss or cancel an appointment without proper notice. On the day of your scheduled appointment, all charges for consultations (medical and nutritional), as well as laboratory testing will be itemized and reviewed with you. Payment is due on the day of service. INSURANCE INFORMATION Optimal Health Institute of Ohio does not participate with any insurance carrier. We are considered an “out-ofnetwork provider”. We do not submit medical claims on your behalf and we cannot assist you with claim resolution. However, we will provide you with a detailed billing summary that you may submit to your insurance carrier for reimbursement. Please note that there may be procedures and lab tests that are non-covered due to your individual policy/plan type. Please call the telephone number on the back of your insurance card with any questions regarding your coverage. MEDICARE INFORMATION Optimal Health Institute of Ohio does not participate in the Medicare program. If you are a Medicare Part B beneficiary and wish to become a patient of the practice, you are required to accept the terms and conditions set forth in a Private Contract between you and O.H.I.O. This Private Contract provides that absolutely no Medicare payment will be made to you or to the practice for the services provided, even if such services are covered by Medicare. Under the Private Contract, you acknowledge that you accept full responsibility for the payment of charges for all services rendered by Optimal Health Institute of Ohio; such payments are due in full at the time of service. O.H.I.O. will not require you to sign the Private Contract if you are experiencing an emergency or urgent issue. PHONE CALLS & MESSAGES If you have a medical emergency, call 911 or go directly to the nearest emergency room. Our office hours are Tuesday 11:00-7:00, Wednesday & Thursday 8:30 – 3:00, Friday 8:30 – noon. We are closed on Monday. To reach Optimal Health Institute of Ohio, please call (330) 699-1500. If you call after hours, our office staff will return your call on the next business day. When leaving message, please be brief and include the following information: 1. Full name, spell your last name, and date of birth 2. Reason for call 3. Best time to be called back 4. Phone number(s) 5. Email address (if desired) PRESCRIPTION REFILL REQUESTS It may take up to 5 business days to process a prescription refill. Please plan ahead to avoid any interruption in your medications. Prescription refills can be faxed to our office by your pharmacy. Our fax number is (330) 699-1646. Wishing you optimal health and happiness, Dr. Nancy Fazekas Grubb, MD and the Staff at O.H.I.O. Directions to Optimal Health Institute of Ohio From Rt. 77: Get off at Massillon Rd exit, go west on Massillon Rd Continue down 2 miles. Our office is on the right. Pull into drive with Greenview Inn sign. Turn left into our drive. Park at 4030 Massillon Rd. Ste C (on right).
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