Robinson Family Medicine Clinic
AMHFPRFMTM1
Current as of:  20 July 2012
Clinic Location:		Approximately 400 yards East of Evans Army Community Hospital.
		Bldg# 7490. Ft Carson, CO 80913.
Hours of Operation:  Mon-Fri    0700-1600 (except holidays)
Walk-in:		Pregnancy testing is performed here on a walk-in basis between 0700 and 0900 (urine test only).
		HPV shots:  All injections (initial, 2 month and 6 month) are on a Walk-In basis.
		(No FORSCOM)
Consult		No
Required:
Self-Referral		No
Clinic
Beneficiary		Robinson assigned AD and Prime
Types:		(See special instructions for Reserve Unit Personnel assigned to 1/158th Apache from Texas)
Appt Types:		Detail Codes:		Duration:		Comments / Instructions
ACUTE				15 / 20		PCM	Same Day / Next Day
						ALT Provider	Same day only
EST						ANY type of patient care (i.e. routine / follow-up / wellness).
						DO NOT BOOK FLU SHOTS
EST		PAP, 17-99				Robinson PAP patients ONLY.  (See PAP instructions below)
Special Instructions for Patients:
TO BE READ VERBATIM TO THE PATIENT
► Do not bring children to pap appointments.
► Children cannot be left unattended in the clinic waiting area.
► Patients under the age of 18 must be accompanied by a parent or legal guardian unless the appointment is for birth control, or any GYN or
OB issues to include STDs.
► "Please arrive at your appointed time.  Early arrival is not necessary.  The first 10-15 minutes of your visit will be with your PCMs nurse
who will screen you for Preventive Medical needs, health risks and review your expectations for your visit."
Special Instructions for CLERKS:
EVANS TEAM LISTING
(click for link)
Provider Restrictions:
► Dependants are ONLY booked with Team #1 providers listed above.
► If the soldier’s PCM is NOT listed on Team #1 , see the Evans FORSCOM Provider Instruction Protocol
► PROFILE extension requests will be booked by the clinic.
Multiple Issues / Concerns
► Book ONLY one appointment per patient per day, list ALL concerns - do not join.
► EXCEPTION to this process is PAP appts.  They should NOT be scheduled with any other appt requests.
► If a patient requests a PAP and Physical, there should be a MINIMUM of 2 hours between appts, or if possible, book on seperate days.
DO NOT TELL THE PATIENT THERE ARE ANY LIMITATIONS OR RESTRICTIONS
All Appointment Types  Booking Priority
1.  PCM     (Same Day/Next Day - all appts)
2.  PCMs Team     (Same Day Only for ACUTE appts)
If there are NO ACUTE slots available then a SAME DAY EST slot may be used.
If a patient has a NON-ACUTE PROBLEM and REQUESTS a same day appointment, you may book them into a 20 min ACUTE with
their PCM (20 min ONLY) if there are no available same day EST appointments. (Not to be used for PAP or ADHD).
Reserve Unit Personnel assigned to 1/158th Apache:
► RFMC is the assigned Clinic for this unit’s personnel and they should be scheduled with any RFMC MEDCOM providers.
If there is no availability, they can be scheduled with Evans Family Medicine Clinic with any available MEDCOM provider.
Pre-Operative
► Consults:  Book with PCM (if PCM is a physician).  If PCM is NOT a physician, book with PCM team physician.
► Physicals:  Pre-OP physicals are to be done with PCM in a 20 min appt.
Well Baby
► Well baby EST appointments (2 weeks, 2 / 4 / 6 / 9 / 12 / 15 / 18 / 24 months).
► Early discharge appointments (48-72 hrs) will be booked by clinic staff.  Transfer patient to clinic:  241#
Physical Exam Guidelines
MILITARY, Active Duty, and MEB ( Med Eval Board )
► All Active Duty Physicals, Part 1 are to be booked with Evans Physical Exams Clinic  (See that protocol for instructions).
► Part II are to be booked with PCM.  For Part II of an MEB Physical, join two EST slots.
► If there is no access within the PCM clinic when booking a Part II, book in Physical Exams in a SPEC appointment type.
NON-MILITARY: Annual / School / Camp / Sports / Daycare
► Adult / annual / school / sports / daycare physicals book in an appropriate EST appointment.
► Siblings MAY be booked back to back with the SAME PROVIDER.  If siblings are booked with SEPARATE PROVIDERS
they MUST be booked no closer than 40 minutes apart, NO exceptions.
► Patients over the age of 65 requesting physicals require 40 minutes.  Join two EST slots.
PHAs
► Patients calling to schedule a Periodic Health Assessment (PHA), should be directed to call the Fort Carson SRP Site:  719-526-2014
Female / Gyn Concerns
PAP/Post-partum PAP Booking
► PAP appts should NOT be scheduled with any other appt requests.
► If a patient requests a PAP and Physical, there should be a MINIMUM of 2 hours between appts, or if possible, book on seperate days.
► PAP appts are 20 minutes.
► All PAP appts should be booked in the following priority:
1.  PCM
2.  PCM Team
3.  GYN (click for protocol)
NOTE:  Patients that request a female provider can be booked with one even if it means they see the PCM team rather than the PCM.
Pregnancy Testing
► Urine only pregnancy testing is performed here on a walk-in basis between 0700 and 0900.
NOTE:  Patients that request a female provider can be booked with one even if it means they see the PCM team rather than the PCM.
Birth Control
► Birth Control Pill Refills require a current pap smear on record (within the last year).
► If the patient requires a Birth Control Rx refill prior to their scheduled PAP appointment refer them to the front desk to leave a telephone
consult with their PCM.
► Patients requesting to initiate birth control pills also need a current PAP smear on record (within one year).
► If the patient has a current pap, the clinic will book appointment for birth control counseling and initiation.
► If the patient needs a PAP, book an appointment for PAP and initiation of birth control.
NOTE:  Patients that request a female provider can be booked with one even if it means they see the PCM team rather than the PCM.
IUD (Intrauterine Device)
► For IUD counseling one appointment is needed. (Morris ONLY)
► For IUD removal only one appointment is needed.  (Morris ONLY)
► IUD insertion will be booked by the clinic on a day other than the counseling.
► Patient must have current pap smear (within six months)
►  If patient needs a pap; schedule a pap for the patient.  (This specific PAP is to be booked with Morris ONLY.)
► IUD counseling will be done at time of pap.
NOTE:  Patients that request a female provider can be booked with one even if it means they see the PCM team rather than the PCM.
OB (Obstetrics)
► OB patients should be booked in EACH OB clinic (see EACH OB Protocol).
General Clinic Information
Medications Refills / Renewals
► If the patient requires a prescription RENEWAL
(ie. their prescription has expired or out of refills - NO CHANGES) transfer to clinic to leave a telephone consult for PCM.
Ask if patient if they are experiencing a medical problem/or experiencing change regarding the medication, if so, then you can book an appointment with their PCM.
appointment with their PCM.
► If the patient requires a prescription REFILL
(their prescription has refills left) continue with the following:
- Ask the patient to have their prescription bottle present with them.
- Explain to the patient that you will now transfer them to the Med Refill Line where they may follow the prompts to obtain a refill.
- Give the patient the phone number and attempt to transfer the patient to: 719-524-4081
EFMP Screening (Exceptional Family Member Program)
► Book EFMP enrollment, updates, and disenrollment with PCM only.  Join two EST appointments.
► AD family members only - NO Active Duty.
► Patient needs to pick-up Form DD2792 from the EFMP Office and bring to PCM appointment.  Form must be brought back to the EFMP
office following appointment.
► Requests for any other EFMP reasons - transfer to clinic:  241#
Colposcopies and Treadmill Stress Test
► Clinic book only, transfer call to clinic.
Communicable Diseases (Chicken pox, measles, etc.)
► Instruct patients with potential communicable diseases, i.e. chicken pox, measles to identify themselves to the receptionist.
Mental / Behavioral Health Requests
► Non-emergent requests for non-active duty Mental Health needs, transfer call to 1-888-TRIWEST, and instruct patient to say:
'Mental Health'
Special Instructions for Lack of Availability:
► If there are no appointments available, transfer patient to clinic for assistance at:  241#
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