Align Mobile Medical Services LLC
Acknowledgement Form
Align Mobile Medical Services LLC is an independent mobile phlebotomy, drug testing and EKG service provider. We provide in home mobile blood draws, urine drug screening (DOT and NON-DOT) and several CLIA waive testing on a concierge basis to our clients in the privacy of their home, workspace, or any place that our clients prefer. We service the Gwinnett County area up to 30 miles round trip. Our fees are NOT covered by insurance and will require payment at time of booking to secure appointment.
Align Mobile Medical Services LLC is responsible for travel to client within 30 miles (round trip) of business office location, specimen collection, preparation, processing, handling, and delivery to laboratory for testing. AMMS does not collect any specimen without a test request from a healthcare provider. Your lab request can be faxed to our secure fax server at 1-706-225-2111 or emailed to Info@alignmobilemedicalservices.com.
Align Mobile Medical Services LLC does not give advice, treat, or diagnose.
Align Mobile Medical Services LLC handles the specimen from the time of collection until delivery to the laboratory or shipping facility. At no time will specimens be given to client for shipping, handling, or delivery. AMMS is not responsible for any errors that may occur once specimen is delivered to the lab or shipping facility.
Payment of invoice is due upon booking of service. If payment of invoice is not paid by 8pm the evening before the appointment, the appointment will be cancelled. Payment of invoice confirms appointment. Invoices will be emailed upon receipt and review of lab order. Our service fee starts at $55. Requests for services 30 - 75 miles (round trip) will incur an additional $25 fee.
For an in-office visit if you are going to be more than 15 minutes late to your scheduled appointment, you must call to reschedule.
No show appointments without 24hr notice will acquire a fee of $50 dollars.
Please go to the website for all appointments at info@alignmobilemedicalservices.com or call 470-735-4111- If you get our voicemail, please leave a message and we will respond with 24 - 48hrs.
*Additional fee is charged for Stat test requests from ordering provider*
Mobile Drug Screening price varies depending on donor location.
Once lab order is received and reviewed, client will then proceed to AMMS secure online booking requesting payment to secure an appointment. Appointment for lab services is tentative until payment of invoice is received. Only then is appointment confirmed. Once invoice is paid, an email or text will be sent confirming appointment.
A confirmation call the day before patient appointment will be made to confirm and instruct patient of any necessary instructions.
If we arrive at the appointment and we are unable to collect the specimen due to circumstances beyond our control, i.e. patient refuses, client not available at confirmed time, client hasn't followed preparation instructions as per testing requirements or physician, the client will be responsible for the full charges of the collection. There will be no refunds except in extenuating circumstances.
Align Mobile Medical Services LLC, does not bill insurance companies for our fees. Client may submit invoice for our services to their insurance company in order to obtain reimbursement. However, we do not guarantee payment. Client's lab testing will be billed to their insurance provider by the testing facility. Lab results for testing requested by client's medical provider will be sent to the ordering physician only. Any charges related to lab testing, is the responsibility of the client and must be handled with the billing department of the testing laboratory. Testing is billed to the insurance company, and we do not handle billing. We are not responsible for testing not covered by your insurance company. Align Mobile Medical Services LLC does not file insurance claims. AMMS is not associated with any doctor's office, insurance company, or medical facility. Under no circumstance will AMMS divulge any client information to any unauthorized personnel. Align Mobile Medical Services LLC is fully insured and HIPAA compliant, we respect the privacy of each of our clients.
*Personal Protective equipment is used for each client interaction*
*Masks are required for each patient encounter*
Align Mobile Medical Services LLC
3300 Holcomb Bridge Rd Ste 250, Norcross, Georgia 30092, United States
TELEPHONE:(470)735-4111 FAX: (706)225-2111
(Copyright © 2022 Align Mobile Medical Services LLC - All Rights Reserved.
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