We have included a link here to our New Patient Packet for your convenience. Please take a moment to read and submit these forms before your first visit to FMCG. Don’t worry we understand these forms can be a little overwhelming at first glance. Included you will find several “consent” forms asking for your consent or permission to access records from other providers, insurance companies, and other agencies which may be needed to provid the most comprehensive care possible for you and your family. You will also find release forms allowing FMCG to provide some of these organizations with information in regards to your care at FMCG.
OUR PROMISE TO YOU…
- FMCG strictly adheres to all HIPPA, Federal, State Federal, State, and local laws in regards to our patient’s privacy.
- If you or your family at any time feel as though your privacy has been violated by anyone at FMCG (Providers, Staff, another Patient, etc.) we want to know immediately.
You must have these forms completed prior to being seen for your initial appointment at FMCG. Your provider will use a portion of the package during your initial assessment, our billing staff will use a portion in completing all the required insurance filing and our scheduling department will use some of these forms to set up your initial as well as subsequent appointments.
Should you require assistance reading, understanding or filling in the information on these forms click here to contact we and someone from our office will follow up with you within 24 hours.
|Family Matters of Coastal Georgia is proud to accept most forms of insurance including the ones listed here. For added convenience we have included a link to these insurance carries web sites should you need to more information.
| FMCG will assist you in every way possible navigating your policy and understanding your insurance coverage/benefits for mental healthcare.
Patients are responsible for providing FMCG with their most current and up-to-date insurance information.
Patients are responsible to report changes in carries, coverage, co-pay's, etc prior to their next scheduled appointment at FMCG.
Not seeing your insurance carrier?
Have questions about your coverage and/or copays? Contact our billing department. We are happy to help and answer your questions.
Email, Text and Internet Messaging correspondence is considered part of your medical record. Also by agreeing to communicate via email, you are assuming a certain degree of risk that your information may be breached. The internet is not full-proof and since counseling contains private & sensitive information, We cannot ensure the confidentiality of our electronic communications against purposeful or accidental network interception.