For Patients

To treat each patient and their family as if they were our own. Each patient, each family, each and every time,

This document

• Provides you with your Rights and Responsibilities relating to your surgery
• Describes how to file a grievance, if desired
• Provides information concerning physician ownership of our center
• Sets forth our center’s policy with respect to advance directives.

Click the link below to download the Patient Rights and Responsibilities Form:
Patient Rights and Responsibilities Form

This Privacy Notice describes how we may use and disclose your protected health information to carry out treatment, payment, or health care operations and for other purposes that are permitted or required by law. It also describes your right to access and control your protected health information. Your “protected health information” means any written or oral information about you, including demographic data that can be used to identify you, created or received by your health care provider, which relates to your past, present, or future physical or mental health or condition.

Click here to download the privacy notice document.

CareCredit

CareCredit^® is a credit card issued exclusively for use in paying for your health care expenses. You can apply for a CareCredit^® card to cover the facility portion of your bill at participating surgical facilities.

• Depending on the cost of your procedure and the options offered at your surgical facility, you may choose between 6 and 12 month special financing options on qualifying purchases of $200 or more.*
• To apply for a CareCredit® credit card, visit the CareCredit® website www.carecredit.com
• Call them directly at: (800) 677-0718
• Call your surgical facility if you have any questions.
• Click here to learn more from the CareCredit® website.

*Subject to credit approval. Minimum monthly payments required. See provider for details.

MedDraft^TM

MedDraft^TM is a patient auto-draft program through which you can set-up monthly payments for the surgical facility portion of your bill.

• Valid checking account number, credit card, or debit card must be provided to the facility upon acceptance of the program. This card/account will be charged/debited each month until the fulfillment of your facility bill.
• Payment can be spread over a maximum of 6 months will include a fixed payment amount.
• There is no interest for this payment plan.

Click here to learn more from MedDraft’s website.

Seasonal Financing Plan: Offered at participating facilities

The Seasonal Financing Plan is a delayed auto-draft program offered at participating surgical facilities in January and February to assist with the facility portion of your bill.

• This option is available to all patients covered by insurance products (excludes self-pay)
• No payment for 60 days and up to 6 months no-interest monthly payments for the facility portion of your bill.
• A valid checking account number, credit card or debit card must be submitted to the surgical facility.

Contact your facility if you have any questions.

Por esta página, encontrará información disponible en español. Si usted no encuentra el documento e información que necesita, favor de llamarnos en nuestro despacho, y le ayudaremos.

Preguntas hechas con frecuencia

Este documento contiene información sobre qué puede esperar el día antes de su cirugía, el día de su cirugía, y el día después de su cirugía.  También se incluye información sobre el uso de anestesia para su procedimiento quirúrgico.

Preguntas hechas con frecuencia

Pay your bill online by clicking HERE today!

The Surgery Center of Nacogdoches complies with applicable Federal civil rights laws and does not discriminate on the basis of age, race, ethnicity, religion, culture, language, physical or mental disability, socioeconomic status, sex, sexual orientation and gender identity or expression.  The Surgery Center of Nacogdoches does not exclude people or treat them differently because of age, race, ethnicity, religion, culture, language, physical or mental disability, socioeconomic status, sex, sexual orientation and gender identity or expression.  Our health plans are also subject to the section 1557 nondiscrimination requirements and will be operated accordingly.

The Surgery Center of Nacogdoches:

• Provides free auxiliary aids and services to people with disabilities to communicate effectively with us, such as:
  • qualified sign language interpreters, video remote interpreting or other aids for hearing impaired individuals
  • written information in multiple formats including large print, audio, accessible electronic formats, or other formats for visually impaired individuals

• Provides free language services to people whose primary language is not English, such as:
  • qualified interpreters or a language line
  • information written in other languages

If you need these services, contact The Surgery Center of Nacogdoches’s ADA Coordinator at 936.568.3595.

If you believe that The Surgery Center of Nacogdoches has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability or sex, you can file a grievance with:

ADA Coordinator
The Surgery Center of Nacogdoches
4948 NE Stallings Drive
Nacogdoches, TX 75965
Phone: 936.568.3595
Fax: 936.569.3591
Rhonda.Tubbe@tenethealth.com

You can file a grievance in person or by mail, fax or email.  If you need help filing a grievance, The Surgery Center of Nacogdoches’s ADA Coordinator is available to help you.

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:

U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C.  20201
1-800-368-1019, 800-537-7697 (TDD)

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html

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