FMG Policy Document
Thank you for choosing Dr. Doniparthi with your care. The staff at Functional Medicine Georgia strives to provide quality service in a timely manner. To do so, we have implemented updated policies and procedures. These enable us to better utilize available appointments for our patients in need. If you have any questions regarding the updates, please get in touch with our office.
Office Hours
The office is open Monday - Thursday, 9:00am - 4:00pm
Appointments
All appointments are scheduled in advance. We cannot call in prescriptions or offer medical advice to patients before their initial visit. Patients with a “new” condition not discussed with Dr. Doniparthi will also require an appointment.
Cancellation/Reschedule of an Appointment
If you need to cancel your scheduled appointment, please call one (1) working day in advance. Appointments are in high demand, and your early cancellation will allow another person to have access to timely care. If less than 24 hours' notice is given, the patient will be subject to a fee of 50% of the cost of the visit.
No Show Policy
A “no-show” is someone who misses an appointment without canceling it within one (1) business day in advance. No-shows inconvenience individuals who need access to care in a timely manner. A no-show will be billed for the cost of the visit if you fail to cancel.
Telemedicine & Video Conferencing
All appointments made for telemedicine and or video conferencing will require a signed consent form and you will be required to make a payment on file before your appointment.
Insurance
Due to the nature of our practice, we do not accept insurance or file insurance claims. However, we can provide you with a Ledger/Superbill or letter of medical necessity that you may submit to your insurance company. Dr. Doniparthi is an out-of-network provider.
All medicare patients will be required to sign additional documents as medicare providers require.
Payments
We accept MasterCard, Discover, Visa, and American Express. We also accept HSA and FSA credit cards. Cash payments are accepted and will receive a 5% discount on services and products.
Forms/Letters
We understand that you may occasionally need forms or letters to support your healthcare needs. The team at Functional Medicine Georgia is happy to assist by completing these documents upon request. Please note that fees may apply due to the additional time required from both physicians and administrative staff. For our fee schedule and estimated completion time (7-10 days), please contact our office.
Medical Records
Per HIPAA guidelines, copies of medical records must be requested in writing. To ensure your privacy, a form for release of medical information must be completed prior to receipt of these materials. The law allows Medical Offices 30 days to complete requests for records, though we do our best to provide them in a timely manner. An administrative fee of $75.00 will incur for all medical records request to patients whether, printed, emailed or faxed. There will be no charge for this request if we are sending a fax to a physicians office. Our office will provide you with a request/transfer of records authorization form, this form must be completed and signed by all patients for all requests.
Prescription/ Prescription Extension Requests:
We encourage our patients to track their medications as not to run out; we advise a minimum of two weeks prior. If you require testing, give yourself a minimum of 30 days. However, if you need a last-minute prescription extension, we will provide one for a fee of $95.00. Please allow up to two business days for the request to be completed. The fee for same-day prescription refill requests are $125.00 due to the administrative and physician time involved in expediting this request. These fees also apply to any other prescriptions that are requested outside of an office visit. This may require a prior authorization from Dr. Doniparthi. Please allow ample time for any and all prescription requests.
Order Request
A charge of $45 for ALL Patients requesting orders for blood work, Imaging, X-rays etc. All requests will be emailed to the patient directly and/or the facility you request. There is no charge for requests made by Dr. Doniparthi during a consultation.
Emails/Phone Calls
Please allow up to 2 business days for us to respond to emails, which are only reviewed during office hours. To ensure timely replies, please send only one email, as multiple messages may cause delays.
If your email contains unsolicited clinical information (e.g., symptoms or test results), it will not be reviewed by Dr. Doniparthi or the clinical team. Instead, it will be saved in your clinical notes for future consultations. For immediate assistance, please call our office to schedule an appointment; regular office charges apply.
SMS Opt-In or Phoned Numbers
SMS opt-in or phone numbers collected for the purpose of SMS communication are not shared with any outside parties. We use this information solely to communicate directly with you as part of our services.
Supplements
Dr. Doniparthi does extensive research to vet the supplement products and companies we carry; however, you are not required to purchase supplements here at the office. We do caution against purchasing supplements on Amazon because of issues with counterfeit items.
Also, please note that the FDA prohibits the return of supplements and filled prescriptions.
Blood draw
If you are coming in to the office to have lab work done, and you would like to add additional tests, please advise the office at least 24-48 hours prior to your blood draw. Some tests require specific processing, supplies and pricing that we may need to have on hand.
By signing below, I acknowledge that I have received, reviewed, understand, and will comply with the policies and procedures explained in the Functional Medicine of Georgia’s Office Policy for Patients form.
______________________________________________ Printed Name
______________________________________________ ____________ Signed Name Date
Office Policy for Patients
April 11 2024 HD
Please click on the link to access the document, sign and email it back to gethealthy@fmg.health: