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KRFDC

Patient Information


PATIENT INFORMATION
We accept Medicaid, Medicare and most private insurance. We also offer a sliding fee program that can provide discounts on fees and co-pays (based on income).

Making an Appointment
We will do our best to schedule an appointment at your convenience. When you call, please tell the receptionist all of your symptoms and concerns. If you are unable to keep your appointment, please let us know within 24 hours. Please arrive 30 minutes before your appointment.

What to bring to your first appointment?
Personal identification (Driver’s License, Picture I.D.), insurance cards and name and address of previous primary care provider (if any). Also, bring all currently prescribed medications. If you cannot bring the medicines, bring a list of the medicines that you take, including over-the-counter medications, herbal remedies, and vitamins.

Patients may qualify for a sliding fee scale; to qualify you will need to bring
: Proof of income for all members of the household, a recent pay stub(s) or a letter from your current employer stating employment status, most recent income taxes, food stamp award letter (if applicable), and proof of family size (Birth certificates, Social Security numbers, etc.).

New Patient Forms
During your appointment, you will need to answer some important questions so that you and your Provider can plan your care together. Completing the appropriate forms before the appointment helps you provide correct and complete information, take an active role in your health care decisions, and make the most of your limited appointment time. For your convenience, we have made our new patient forms available as Adobe Acrobat files (PDFs).

Assignments and Authorizations
Clients Rights Policy
Confidential Communications
Homeless Verification Form
New Patient Orientation Packet Letter
Patient Centered Medical Home Compact
Patient Demographics Form
Sliding Fee Scale Application
Sliding Fee Scale Authorization Form

Notice of Privacy Practices

2017 Sliding Fee Scale

Prescription Assistance Program
KRFDC maintains a Patient Prescription Program (PAP) that provides low cost medications to patients who qualify. Clients pay a low-co pay (approximately $2) for the prescription medications provided through the program. Patients will receive a 90-day supply of medication(s) through PAP. Medications will come to the clinic and patients will be called to come and pick them up.

Refilling Your Prescription(s)
T o refill a prescription, please call us during normal business hours and have the name of your medicine and the dose you are supposed to take ready. Please call us 4-5 days before you run out of your medication. Sometimes it takes up to 48 hours for your prescription to be approved. Once approved, it will be called into a pharmacy. When your medication is ready to be picked up you will be notified either by telephone or mail as soon as possible. KRFDC does not operate an on-site pharmacy, nor does any medication stay in the Health & Wellness Center.

Getting Your Test Results

We will review our test results (i.e. blood work, imaging) at your next follow up visit. Significantly abnormal results are usually reported within 24- 48 hours. If you do not hear from us for some reason, please call us.

Seeing a Specialist
If it is determined that a patient needs to see a specialist, the Provider will make a referral. The clinic's nursing staff will coordinate those referrals and schedule an appointment on behalf of the patient. If the patient needs to re-schedule their appointment with the specialist, then it is the responsible of the patient to call and re-schedule their appointment. Transportation can be providded to those appointments.

Payment Methods
The program utilizes a sliding fee scale and assists patients with payment plans. The clinic also accepts Medicare and Medicaid and most private insurances. The program will see patients without regard to ability to pay.

Eligibility
Persons or families must be homeless (living on streets, in cars, staying with friends or other family members or living in substandard housing). An individual is considered homeless if he/she is without permanent housing (living on streets, in cars, staying with friends or other family members or living in substandard housing). Individuals and households may also qualify if they are spending more than half of their income toward rent and utilities.

Please call us at 606/663-9011 if you have questions about any of the services we provide or to make an appointment.