HOME ABOUT SERVICES LOCATIONS PATIENTS PATIENT PORTAL HEALTH CARE PROVIDERS CAREER OPPORTUNITIES NEWS DONATE CONNECT RESOURCE HUB Patients Making an Appointment After determining the type of services you need you will need to locate the appropriate Missouri Highlands Health Care Center nearest you. Then contact us by phone to schedule an appointment. After determining the type of services you need you will need to locate the appropriate Missouri Highlands Health Care Center nearest you. Then contact us by phone to schedule an appointment. All Missouri Highlands Health Care Centers accept patients regardless of payer. If uninsured or underinsured and approved for the Sliding Fee Scale, fees are based on household size and income. Planning For Your Visit Except in urgent situations, we would like you to call several days ahead for an appointment. Preventive care, such as family planning, well-child exams and physicals, are usually scheduled two to three weeks in advance. If you need an appointment on the same day, please call early in the morning. We will do the best we can to see you. To help us give you the right kind of appointment, please tell the receptionist enough information about your medical concern. NOTE: Since we do not provide child care services, if you are bringing children who do not have an appointment, please bring someone along to care for your children during your appointment. Our staff cannot take this responsibility. WALK-IN VISITS: We accept walk-in visits for established patients from 8:30am to 3:00pm each day. Patients with urgent medical issues (ie. sick or injured) will be worked in as soon as we can based on need. Only the illness at hand will be discussed. All other medical issues and/or medication refills will be addressed in a separate scheduled visit. All non-emergent problems, like medication refills, will be seen after all scheduled appointments. LATE ARRIVALS: As a Courtesy to Others, We Reserve the Right to Reschedule Your Appointment If You are More Than 15 Minutes Late. New Patient Information Wondering what you might need our what to expect out of your visit. To get some of those questions answered, On your first visit, plan to spend the first few minutes filling out a patient information sheet, as well as reviewing and signing release and acknowledgement forms. The forms are provided here for your review and convenience. Also, a photo will be taken of you and stored in our records to assist in the prevention of identity theft. Patient Information Sheet-02-20-2020 Notice of Privacy Practices 09-23-2013 For patients who are uninsured or underinsured we offer a Sliding Fee Program which is based on household size and income. Forms below. Sliding Fee Application (Bring proof of income with you) Sliding Fee Documentation Sheet 2-26-13 Lab Fee Charges & Sliding Fee Scale Dental Sliding Fee Scale Women’s Clinic Sliding Fee Scale Doniphan Urgent Care Sliding Fee Scale What To Bring Please bring these items with you for your first visit: Completed forms (see above) State Authorized Photo ID Insurance Provider Card Your current medications (prescriptions and over-the counter) in their original bottles. Missouri Highlands Health Care is NOT a pain management center. Payment Options Finances are important to everyone. What are your options? Insurance vs No Insurance: Missouri Highlands Health Centers serve patients with and without insurance. We accept most insurance and will either file claims for you or help with the completion of claims when needed. Uninsured and underinsured patients are asked to complete a Sliding Fee Application prior to service. If eligible, costs will be determined based on household size and income. Sliding Fee Scale: The sliding fee application will help determine the cost for service based on household size and income. Missouri Highlands serves all patients whether insured or not. To see if you qualify, complete the simple application and bring it to your first visit along with proof of income and your last tax return. Call the Missouri Highland Health Care’s billing office for more information. Call (573) 663-2313 Patient Rights & Responsibilities What are your rights as the patients and how can you expect to be treated? Also, what do you need to be prepared with to make the most out of you experience? Click here for more information >> Privacy Practices Keeping our personal information safe is very important. How are we going to use your information? This is the web site of Missouri Highlands Health Care. Our postal address is P.O. Box 157 Ellington, MO 63638-0157 We can be reached via e-mail at or you can reach us by telephone at (573) 663-2313 We collect the domain name and e-mail address (where possible) of visitors to our Web page, the e-mail addresses of those who communicate with us via e-mail, aggregate information on what pages consumers access or visit, user-specific information on what pages consumers access or visit, information volunteered by the consumer, such as survey information and/or site registrations. The information we collect is used to improve the content of our Web page and/or is shared with agents or contractors who assist in providing support for our internal operations. With respect to cookies: We use cookies to record user-specific information on what pages users access or visit, record past activity at a site in order to provide better service when visitors return to our site, customize Web page content based on visitors’ browser type or other information that the visitor sends. If you do not want to receive e-mail from us in the future, please let us know by calling us at the above telephone number or by writing to us at the above address. If you supply us with your postal address on-line you will only receive the information for which you provided us your address. Persons who supply us with their telephone numbers on-line will only receive telephone contact from us with information regarding orders they have placed on-line. With respect to Ad Servers: We do not partner with or have special relationships with any ad server companies. From time to time, we may use customer information for new, unanticipated uses not previously disclosed in our privacy notice. If our information practices change at some time in the future we will contact you before we use your data for these new purposes to notify you of the policy change and to provide you with the ability to opt out of these new uses. Upon request we provide site visitors with access to all information that we maintain about them. Consumers can access this information and/or have this information corrected by calling us at the above telephone number or by writing to us at the above address. With respect to security: We have appropriate security measures in place in our physical facilities to protect against the loss, misuse or alteration of information that we have collected from you at our site. If you feel that this site is not following its stated information policy, you may contact us at the above addresses or telephone number or you may contact the Missouri Department of Health at (573) 751-6400. Notice of Privacy Practices for Protected Health Information This notice describes how medical information about you may be used and disclosed and how you can get access to this information. PLEASE REVIEW IT CAREFULLY. Uses and Disclosures of Protected Health Information Treatment. Your health information may be used by staff members or disclosed to other health care professionals for the purpose of evaluating your health, diagnosing medical conditions, and providing treatment. For example, results of laboratory tests and procedures will be available in your medical record to all health professionals who may provide treatment or who may be consulted by staff members. Payment. Your health information may be used to seek payment from your health plan, from other sources of coverage such as an automobile insurer, or from credit card companies that you may use to pay for services. For example, your health plan may request and receive information on dates of service, the services provided, and the medical condition being treated. Health care operations. Your health information may be used as necessary to support the day-to-day activities and management of Missouri Highlands Health Care. For example, information on the services you received may be used to support budgeting and financial reporting, and activities to evaluate and promote quality. Law enforcement. Your health information may be disclosed to law enforcement agencies to support government audits and inspections, to facilitate law-enforcement investigations, and to comply with government mandated reporting. Public health reporting. Your health information may be disclosed to public health agencies as required by law. For example, we are required to report certain communicable diseases to the state’s public health department. Other uses and disclosures require your authorization. Disclosure of your health information or its use for any purposes other than those listed above requires your specific written authorization. If you change your mind after authorizing a use or disclosure of your information, you may submit a written revocation of the authorization. However, your decision to revoke the authorization will not affect or undo any use or disclosure of information that occurred before you notified us of your decision to revoke your authorization. Without your authorization, we are expressly prohibited to use or disclose your protected health information for marketing purposes when financial remuneration is involved. We may not sell your protected health information without your authorization. We may not use or disclose most psychotherapy notes contained in your protected health information. We will not use or disclose any of your protected health information that contains genetic information that will be used for underwriting purposes. Additional Uses of Information Appointment reminders. Your health information will be used by our staff to send you appointment reminders. Information about treatments. Your health information may be used to send you information on the treatment and management of your medical condition that you may find interesting. We may also send you information describing other health-related products and services that we believe may interest you. Fundraising. Unless you request us not to, we will use your name and address to support our fund-raising efforts. If you do not want to participate in fund-raising efforts, please indicate your refusal on the consent and authorization form provided. Marketing. Unless you request us not to, there are some marketing activities for which we may use your name and address, to provide you with information about services available at our practice. If you’d rather not receive marketing communication from our practice, indicate your refusal on the consent and authorization form provided. Individual Rights You have certain rights under the federal privacy standards. These include: The right to request restrictions on the use and disclosure of your protected health information The right to receive confidential communications concerning your medical condition and treatment The right to inspect and copy your protected health information The right to amend or submit corrections to your protected health information The right to receive an accounting of how and to whom your protected health information has been disclosed The right to receive a printed copy of this notice Missouri Highlands Health Care Duties We are required by law to maintain the privacy of your protected health information and to provide you with this notice of privacy practices. We also are required to abide by the privacy policies and practices outlined in this notice. In the event of a breach of unsecured protected health information, if your information has been compromised it is our duty to notify you. Right to Revise Privacy Practices As permitted by law, we reserve the right to amend or modify our privacy policies and practices. These changes in our policies and practices may be required by changes in federal and state laws and regulations. Upon request, we will provide you with the most recently revised notice on any office visit. The revised policies and practices will be applied to all protected health information we maintain. Requests to Inspect Protected Health Information You may generally inspect or copy the protected health information that we maintain. As permitted by federal regulation, we require that requests to inspect or copy protected health information be submitted in writing. You may obtain a form to request access to your records by contacting the staff at your clinic or Missouri Highlands Privacy Officer. Your request will be reviewed and will generally be approved unless there are legal or medical reasons to deny the request. Complaints If you would like to submit a comment or complaint about our privacy practices, you can do so by sending a letter outlining your concerns to: Privacy Officer Missouri Highlands Health Care P.O. Box 157 Ellington, MO 63638-0157 (573) 663-2313 or Toll-free (877) 648-6934 If you believe that your privacy rights have been violated, you should call the matter to our attention by sending a letter describing the cause of your concern to the same address. You will not be penalized or otherwise retaliated against for filing a complaint. PATIENT PORTAL PATIENT RIGHTS & RESPONSIBILITIES NOTICE OF PRIVACY PRACTICES FOR PROTECTED HEALTH INFORMATION EMPLOYEE PORTAL Sliding Fee Scale Missouri Highlands serves all patients whether insured or not. If uninsured or underinsured and approved on a sliding fee scale, costs are based on household size and income. To see if you qualify, complete the simple application and bring it to your first visit along with proof of income and your last income tax return. DOWNLOAD NOW Locations & Hours Missouri Highlands provides care to children and adults in the Missouri counties of Carter, Reynolds, Shannon, Iron, Ripley, Butler and Wayne. Services vary by location. Find the Missouri Highlands medical, behavioral or oral health care provider near you. READ MORE Making an Appointment Our staff is ready to assist you and schedule your next appointment. Are you a new patient? We have all the necessary forms available online so you can review and complete them before you arrive allowing us to process your information right away. GET STARTED About Missouri Highlands Missouri Highlands Health Care is a Health Center Program grantee under 42 U.S.C. 254b, and a deemed Public Health Service employee under 42 U.S.C. 233(g)-(n). An FTCA deemed facility. Links Home About Services Locations Patients Patient Portal Health Care Providers Career Opportunities News Donate Connect Resource Hub Contact Us centraloffice@mohigh.org (573) 663-2313 Missouri Highlands Health Care 110 S. 2nd St Ellington, MO 63638 Copyright © 2021 Missouri Highlands Health Care.