Re: [1 Attachment] Rx Counseling Form

[Guest guest]

I use a separate form from their medical benefits....as stated I try and give the best guestimate to the patient at the time the prescription was processed.....its cut and dry for some patients, but patients with Part D it is always harder. It is just n excel spreadsheet that the pharm d help me with. I explain that this form is ONLY about money and that it shouldn't be used to know what to take when to take. Hope it helps!

-

Subject: Re: [1 Attachment]To: TxFinancialCoordinators Date: Tuesday, June 5, 2012, 10:25 AM

I have a portion of my financial agreement that states

"Patient is aware that non-immunosuppressant drugs and supply costs will be their responsibility if no prescription plan is in place"

I have attached my Financial Agreement.

Amellia Gay

and White Memorial

Temple, TX

>>> "Galeano, Nury" 6/5/2012 9:28 AM >>>

Hello group! does anyone have a transplant medication contract to share? I need this for patients to sign so that they

know that the transplant center is not responsible for providing medications after transplant if they run into a financial

problem.

Please email it to me as soon as possible.

Thank you!!

Nury Galeano

Team Leader, Financial Counselors/Coordinators

TGMG

TGH office

TGMG office

cell

fax

ngaleano@...

1 of 1 File(s)

allo