- We would like to welcome you as a patient to Midland Women's Clinic. This form you are completing now will assist us in providing you with the best possible care. The scheduling and financial process can take up to 3-5 business days after receipt of this form. An additional email will be sent to you regarding your financial responsibility and estimation that will require a signature prior to your New OB appointment.
- All patients and attending parties must arrive 10 minutes before their appointment. If you are late, you could be re-scheduled or moved to a different time. Visits that involve Sonograms will not wait for other parties to arrive.
- Payment is required at check in. Your payment amount is based off of your benefits. Your appointment will be rescheduled if payment is not collected.
- If you need tocancel orre-schedule your appointment, please call the office atleast 24 hours prior to your appointment toavoid being billed a $50.00 no-show fee.
- We do not file Medicaid as a Primary or Secondary insurance carrier. Failure to present the correct insurance information claim denials and inaccurate calculation of payments due.
If you have any questions, please do not hesitate to call (432-699-2370 ext 205).
We look forward to starting your OB care with you!!