New Patient Information
Please complete and return the New Patient Forms to Machen Family
Medical. In order to establish care and schedule your initial visit
in our clinic we will also require a copy of your driver's license
(or other photo id) and any insurance cards we will need to file on
your behalf. Machen Family Medical is a participating provider for
most major insurance carriers, but we do not accept or file Champus,
Humana, or Adult Medicaid as the primary insurance. It is the responsibility
of the patient to confirm with their insurance carrier that we in-network
with their particular plan. It is essential that we have a copy of the
insurance card to ensure that we have accurate contact information
for prior authorizations on testing. Machen Family Medical staff will not
schedule an initial visit without the above information on file.
It is our office policy
that no controlled medications are prescribed at an initial visit. If a
narcotic or other controlled substance is requested, you will be given
information about our Opioid Treatment Program. Participation in this
program includes a signed Opioid Treatment Agreement, initial and
periodic urine/oral drug screening, and periodic pill counts.
Acceptance into this program is at the discretion of our staff
following review of past medical records and the initial
drug screening results. Patients will be contacted if they meet the
treatment guidelines and will be required to attend routine office
visits and participate in their treatment plan to remain eligible
for prescription obtainment.