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 The Clinic in Bisbee 

 The Clinic is an outpatient healthcare clinic in Bisbee specializing in Primary Care, Preventive Medicine, Integrative Medicine, and Acupuncture. The Clinic is located at 108 2nd St, Bisbee, AZ 85603.

 The Clinic Mission Statement: 
The Clinic promotes knowledge and behaviors which improve human health in accordance with the ideals and goals of public health, prevention, integrative and clinical medicine.

The Clinic in Bisbee is accepting new patients.

Call 520-432-6065 for an appointment.



                                                            NOTICE TO PATIENTS
 
                              This practice serves all patients regardless of inability to pay.
                 Discounts for essential services are offered depending upon family size and income.
                                        You may apply for a discount at the front desk.
                                                                   Thank you.
 
                                                         AVISO PARA PACIENTES
 
                                      Los centros de salud ofrecen servicios de atencion medica
                                        primaria y preventiva, sin considerar la capacidad de los
                                      pacientes para pagar. Los cargos generados por servicios de
                                         salud son calculados de acuerdo al nivel de ingreso del
                                        paciente. Pacientes pueden aplicar para sevicios medicos
                                                          con la recepcionista en la clinica.
                                                                              Gracias

                                                              Non-Discrimination Policy 

 The Clinic complies with the provisions of the Civil Rights Act of 1964 and Section 504 of the Rehabilitation Act of 1973, and all requirements imposed pursuant thereto, to the end that no person shall, on the grounds of race, religion, color, sex, national origin, sexual preference, ancestry, age, familial status, veteran status, culture, language, socioeconomic status, gender identity or expression or physical or mental disability or handicap, be excluded from participation in, be denied benefits of, or otherwise be subjected to discrimination in the provision of any care or service. This Nondiscrimination Statement applies to patients.

Specifically, the above includes (but is not limited to) the following:
 
1. Outpatient care will be provided on a nondiscriminatory basis; all patients will receive care without     regard to race, religion, color, sex, national origin, sexual preference, ancestry, familial status, physical or mental disability or handicap.
 
2. All patients will be assigned and/or transferred to exam rooms, in accordance with their medical need and without regard to race, religion, color, national origin, sexual preference, ancestry, familial status, physical or mental disability or handicap, except in cases where patient safety must be considered.    

                                                    Medicare & Medicaid Accepted

 The Clinic is contracted with federal & state governments to accept Medicare & Medicaid plans. Medicaid in the state of Arizona is known as AHCCCS. The Clinic is contracted with at least one AHCCCS plan provider at all times.

                                                  The Clinic Discount Fee Policy

Policy
 
 It is the policy of The Clinic to provide essential medical services regardless of the patient’s ability to pay. Discounts are offered based upon family/household size and annual income. A sliding fee schedule is used to calculate the basic discount and is updated each year using the Federal Poverty Guidelines. Once approved, the discount will be honored for six months, after which the patient must reapply.

Discount Application Process

 A completed application including required documentation of the home address, household income, and insurance coverage must be on file and approved by The Clinic before a discount will be granted. If the applicant appears to be eligible for Medicaid, a written denial of coverage by Medicaid may also be required. Adolescent patients seeking confidential care are exempt from the application process, and services are provided at the nominal rate. 

Medical

The discount is applied to all in-office services and off-site services supplied by Dr. J. Schourup, The Clinic’s healthcare provider.

Lab & X-ray

Reference laboratory tests and consulting radiology interpretations are excluded. 

                  The Clinic Discounted/Sliding Fee Application Services Covered and Excluded 

 It is the policy of The Clinic to provide essential services regardless of the patient’s ability to pay. Discounts are offered based upon family/household size and annual income. Please complete the following information and return to the front desk to determine if you or members of your family are eligible for a discount.

 The discount will apply to all services received at this clinic, but not those services, which are purchased from outside, including reference laboratory testing, drugs, and x-ray interpretation by a consulting radiologist, and other such services. This form must be completed every 6 months or if your financial situation changes.     

The Clinic Family Assistance Plan Application 

                                                              REFERRAL POLICY

 The purpose of this policy is to for referrals and Continuity of Care. The Primary Care Physician [PCP [maintains a complete and up-to-date clinical record. When a referral is initiated, the PCP provides the specialist with requested information regarding the patient. The PCP informs patient of need, purpose, expectations and goals of the specialty visit; and provides patient with the specialist contact information.
The Specialist provides a consult report for the PCP, which indicates the assessment, evaluation, and recommended treatments. The PCP will discuss this information with the patient to assist the patient in choosing treatment options, and understanding how the specialty information impacts the patient’s health situation.



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