CareMedica Practice Policies and Service Fees
Medical Records, Form Completion and Report charges
To request a copy of medical records you must complete a HIPAA compliant medical record authorization form which is available here. You may send it via fax to (203) 672-2801 or mail it to CareMedica, 821 North Main Street Ext, Suite 210, Wallingford, CT 06492.
The cost for obtaining a copy of medical records is .65 cents per page. HealthPort is our contracted vendor and please allow 7 to 14 business days for processing from the day of receipt of request.
If forms are brought in for completion outside of a time when an office visit is carried out, there is a $15.00 charge per form.
If your visit requires laboratory tests, x-rays, special x-ray studies and other services done outside of our office, a referral may be required by our physicians. CareMedica will provide these specialists and facilities with your billing information. Our staff will contact your carrier when it is required. Patients are ultimately responsible for knowledge specific to their individual plans so we ask that you take an active part in knowing your plan requirements.
Appointment cancellations and no-shows
Please contact our office to cancel a physical examination appointment at least 24 hours prior to your appointment. This will allow us time to use that time slot to accommodate other patients.
We ask patients to call us if they cannot keep a scheduled follow up appointment as soon as possible. This too allows us to accommodate other patients. Repeated cancellations and/or no shows, three or more, may result in discharge from the practice. If cancelled within 24 hours of the appointment there will be a $25 cancellation fee.