Patient Resources


 

We make sure all our new patients feel welcome and taken care of. During your first visit, Dr. Matthew will review your medical history.  As our relationship grows we will adjust treatments and address any issues you may have. We typically proceed with follow up and labs if needed at a time that is most convenient for you.


Patient Forms

Click the links below to download your patient forms.


Patient financial responsibility

Financial responsibility is determined first, by the insured, and second by the adult signing the patient in at the time of the appointment.  Please note that both, if different, will be submitted to collection agencies should the financial obligations of appointments not be met in a timely manner.

Charges will be accumulated and routinely filed with your insurance company during the course of treatment. Charges not covered by your insurance, patient co-pays, deductibles, and co-insurance will be your responsibility and are due at the time of service.

 

CANCELLATION AND NO SHOW POLICY 

We request that you provide at least 24-hour notice of cancellation. This will enable the office to offer that time slot to other patients.

 

Cancellation Fee 

Office appointments, which are canceled with less than 24-hour notification, may be subject to a $25.00 cancellation fee

 

No Show Fee 

Patients who do not show up for their appointment and who do not call to cancel or reschedule will be considered a No Show. No Shows are also subject to a $25.00 No Show fee. 

Patients who do not show, No Show, for two or more appointments in a 12-month period may be dismissed from the practice. 

Location
Prime Internal Medicine Associates
12200 Park Central Drive, Suite 189
Dallas, TX 75251
Phone: 469-203-8744
Fax: 469-729-6691
Office Hours

Get in touch

469-203-8744