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| A OPHTHALMOLOGY CLINIC | |||||||||||||||
| Current as of: 23 May 2012 | |||||||||||||||
| Clinic Location: | 10th MDG, 1st floor, past elevators. | ||||||||||||||
| 4102 Pinion Dr, USAFA, CO 80840. | |||||||||||||||
| Hours/Days of Operation: Mon - Fri 0730-1630 | |||||||||||||||
| Walk-in: | No | ||||||||||||||
| Consult | ONLY if patient is under 65 years old. | ||||||||||||||
| Required: | If the patient was seen in A-Ophthalmology within the past three years, no referral is required. | ||||||||||||||
| Self-Referral | ONLY if patient is 65 years and older. | ||||||||||||||
| Clinic: | |||||||||||||||
| Beneficiary | AD / Prime / T-Plus. | ||||||||||||||
| Types: | |||||||||||||||
| Appt Types: | Detail Codes: | Duration: | Comments / Instructions: | ||||||||||||
| SPEC | Initial Visit: | ||||||||||||||
| New patient or patient who has NOT been seen within the past THREE years. | |||||||||||||||
| LOOK IN PAST HISTORY IN CHCS TO VERIFY LAST VISIT | |||||||||||||||
| EST | Established patients: | ||||||||||||||
| Book ONLY with provider who treated them previously. No exceptions. | |||||||||||||||
| Special Instructions for Patients: | |||||||||||||||
| TO BE READ VERBATIM TO THE PATIENT | |||||||||||||||
| "Were you told to schedule a special test, such as a Glaucoma visual field test prior to your next visit ?" | |||||||||||||||
| If the answer is yes, or the patient does not know, transfer to the clinic for assistance: 120# | |||||||||||||||
| Special Instructions for CLERKS: | |||||||||||||||
| Ask ALL patients if they have been seen in this clinic in the PAST THREE YEARS. | |||||||||||||||
| If they have, BOOK THEM WITH SAME PROVIDER - NO EXCEPTIONS! | |||||||||||||||
| Provider Restrictions | |||||||||||||||
| ► Patients requesting follow-up care and were previously seen by Mauffray, Burden or Hunter must be booked with another | |||||||||||||||
| provider in a SPEC appt. | |||||||||||||||
| DO NOT BOOK THE FOLLOWING: | |||||||||||||||
| Pre-operative exams, surgery, laser or other procedure | |||||||||||||||
| Referral Lifespan: | |||||||||||||||
| ► Referrals are good for THREE YEARS. | |||||||||||||||
| PRK / LASIK / Laser Vision: | |||||||||||||||
| ► Transfer any appointment requests for these services to the Refractive Surgery Clinic: 333-0525 | |||||||||||||||
| Medication Refills: | |||||||||||||||
| ► Transfer call to the clinic: 120# | |||||||||||||||
| Special Instructions for Lack of Availability: | |||||||||||||||
| ► If there are no appointments available, transfer the patient to clinic: 120# | |||||||||||||||