Pease Integrative Medicine Office is committed to meeting our patient’s healthcare needs and keeping their insurance and other financial arrangements simple, secure, and efficient. In order to accomplish this in a cost effective manner we have set forth the following terms that establish how Patient ID numbers are created, established and maintained.

1. Pease Integrative Medicine Office utilizes an Electronic Medical Record (EMR) and Electronic Practice Management (PM) system to store all patient health and financial information related to services provided at the practice.

2. Pease Integrative Medicine Office will use the Electronic Medical Record (EMR) and Electronic Practice Management (PM) system to create individual and unique Patient ID numbers and associate patient medical records with that Patient ID number into what is commonly referred to as the Patient Chart.

3. The Patient ID numbers will be numeric whole integers starting at 1 and increasing at a rate of 1 each time a new Patient ID is created.

4. Required Demographic Information for a Patient ID Number:

   1. A patient must provide the practice with their current address of residence, telephone number, email address, sex, date of birth, emergency contact, medical release of information, and any applicable insurance coverage numbers.

   2. Patients must provide a valid current photo ID to be scanned into the patient record such as Drivers License, Passport, School ID, Military ID for purposes of ongoing identity verification.

   3. Patients must agree to inform the practice of any changes to this information as changes occur.

   4. The practice may elect to deny services for incorrect or inaccurate information.

5. Other Demographic Information:

   1. Patients may be asked to provide other social, family, and economic information such as race, ethnicity, marital status, etc., but this other demographic information will not be considered a requirement for Patient ID Number creation.

6. Patient ID’s for Minor’s can be created upon request of the parent or legal guardian of the minor. All Required Demographic information concerning the minor patient must still be obtained as per 4.1. above. If the minor does not have a photo ID then the photo ID of the parent or legal guardian will be scanned into the minor record for help in identification. As soon as a photo ID is available for the minor that will be scanned into the patient record and replace the parent or legal guardian photo ID.