Patient Enrollment

In order to provide you with the best possible care the Bernard Healthcare Center/Free Clinic of Franklin County occasionally sends Text messages, Emails and Phone messages for reminders, follow ups and concerns etc.

Please bring with you to your first appointment:

1. Your Photo ID (Driver's License)
2. Most recent two pay stubs from employment, if applicable
3. Copies of your bank statements, investments, and/or other sources of income.

Patient Consent

Read and check each box below for consent

Patient Guidelines/General Rules For All Patients

• No food or drink is allowed in the patient areas. Please put all trash in the trash cans.
  
  
• Appropriate behavior is expected at all times. Patient will remain in the waiting room until called. It is the parents responsible to monitor their children. No running, jumping or unsafe behavior is allowed. Inappropriate behavior by a patient, patient’s family or friend, will result in patient being asked to leave. The incident will be reviewed to consider future service.
  
  
• Bernard Healthcare Center/Free Clinic of Franklin County will provide the best possible care for all patients.
  
  
• Bernard Healthcare Center/Free Clinic of Franklin County is not an emergency facility. If you have a medical emergency, go to the Hospital Emergency Room or call 911. Bernard Healthcare Center/Free Clinic of Franklin County CANNOT PAY for emergency room visits.
  
  
• It is the Patient's responsibility to inform Bernard Healthcare Center/Free Clinic of Franklin County about changes in their Address, Phone Number, Insurance Status, and Income.
  
  
• To be a Active Patient it is your responsibility to have all necessary documents required to Re-register each Year and you must see doctor within 6 months to continue getting refills on prescription(s).
  
  
• Prescription(s) and /or sample medication(s) can be ordered by our physician. Be aware there is a $3.00 processing/handling fee for each prescription and/or sample medication given. Any special ordered medications is your responsibility to pay. Fee is due at the time of your visit.
  
  
• It is the Patient's responsibility to re-order medication(s). All prescription refills must be called in before 3:00 p.m. on Wednesday in order to be picked up on Thursday of the same week. Anything called in after 3:00 p.m. Wednesday on the pharmacy line will no be filled until the next week. We DO NOT DO ANY Auto Refills.
  
  
• Prescription refills are available for pick up on Thursday after 1:00 p.m. until 4:30 p.m. Next available pick up day for refills is Monday. Bernard Healthcare Center/Free Clinic of Franklin County is open Monday through Thursday 8:00 a.m. through 4:30 p.m. We close each day from 12:00 p.m. through 1:00 p.m.
  
  
• Bernard Healthcare Center/Free Clinic of Franklin County does not provide second opinions.
  
  
• Bernard Healthcare Center/Free Clinic of Franklin County does not assume responsibility for charges incurred at a Specialist office or for certain special diagnostics. It is Patient responsibility to inquire about possible fees prior to seeing the physician/specialist.
  
  
• Patients who are diabetic are required to attend patient education programs to be eligible for reduced cost diabetic testing supplies.
  
  
• Appointments should be cancelled at least 24 hours prior to the appointment by calling (540) 489-7500. Please clearly leave your name, phone number and appointment date and time. If you miss 3 appointments without calling, you will be seen only in walk in clinic.
  
  
• Donations: Bernard Healthcare Center/Free Clinic of Franklin County depends on volunteers for their help. We depend on donations from the community in order to provide you with services. We ask that, when possible, make a donation to help keep Bernard Healthcare Center/Free Clinic of Franklin County going for you. ***Any amount is always appreciated***