Office Cancellation Policy

New Office Policy

Effective January 1, 2020

*If you have a balance that is due and owing of $200.00 or more you will need to make a payment before you are seen per our billing company.

*If you have new insurance, please let staff know and provide your new insurance information to us within 24 hours to avoid any delays or any billing issues;

*All of our diabetic patient’s need to be seen every 3 months.

*Patients that are currently taking depression, anxiety and or adhd medications will be required to be seen every 3 months. Also, please note that there may be a random urine drug screen to confirm the usage of medications.

*Please keep in mind and plan accordingly that our office will not prescribe or refill any controlled substance medications after office hours or over the weekend.

*Also, if you are needing a medication refill, please contact your pharmacy. If your medication is a controlled substance medication, please call our office for the refill request and or possibly an office visit for the refill request.

*Lastly please note that we cannot prescribe or call-in medications that have never been prescribed to you from our office without patient being seen first.

Cancellation Policy and No Show Policy

Effective July 26, 2021

Our goal is to provide quality medical care in a timely manner. In order to do so we have had to implement an appointment/cancellation policy. The policy enables us to do better utilize available appointments for our patients in need of medical care. 

1. Cancellation/No Show Policy for Doctor Appointments. We understand that there are times when you must miss an appointment due to emergencies or obligations for work or family. However, when you do not call to cancel an appointment, you may be preventing another patient from getting much needed treatment. Conversely, the situation may arise where another patient fails to cancel and we are unable to schedule you for a visit, due to a seemingly “full” appointment book. A “no show” is someone who misses an appointment without canceling it within a 24-hour working day in advance. No-shows inconvenience those individuals who need access to medical care in a timely manner. 

2. How To Cancel Your Appointment. If it is necessary to cancel your scheduled appointment, we require that you call one working day in advance. Appointments are high in demand, and your early cancellation will give another person the possibility to have access to timely medical care. To cancel an appointment, please call our office 8:00 am through 4:30 pm at (402) 933-4450. You may also cancel via text message within 24 hours after office hours at (402) 933-4450. 

3. Scheduled appointments. We understand that delays can happen, however, we must try to keep the other patients and doctors on time. If you are running late, please notify the office. If a patient is 15 minutes past their scheduled time, we may have to reschedule your appointment. 

The following are charges for services in the office: Same Day Appointment Cancellation $35.00 No Show Fee- $70.00 

Please sign to acknowledge you have read and understand our cancellation/no show policy. Thank you, Omaha Health Clinic.

Patient Name: ________________

Date: __________________