1. | 800.331.4976 | www.poscorp.com |
POS® – Your Resource for Patient Communication Tools
New
Patient
Educational&
Preventative
Diagnostic&
Treatment
Financial
Patient Acquisition
Patient
Communication
Lifecycle
What communication tools are you using?
Envelopes
Letterhead
Business Cards
Registration Forms
HIPAA
Rx Pads
Surveys
Checks
Patient Statements
Patient Packet
–Welcome Letter
–Patient Letter
–Health History
–HIPAA

2. | 800.331.4976 | www.poscorp.com |
Improve your patient experience with
improved patient communications.
Envelopes Letterhead
Medical Village
Emeryvillemedical village
1234 Grand BoulevardAnytown, USA 12345p: 123.456.7890f: 123.456.8888www.medicalvillage.com
Medical VillageEmeryville
medical village
1234 Grand Boulevard
Anytown, USA 12345
p: 123.456.7890
f: 123.456.8888
www.medicalvillage.com
Melanie Johnson
Ofce Manager
Business Cards
Patient StatementsHIPAA Forms
Appointment Cards
Rx Pads
Patient Packets Checks
New
Patient
Educational&
Preventative
Di
agnostic&
T
reatment
Financial
P
atient Acquisition
Patient
Communication
Lifecycle
09/13
1315936
480SUP0084
systemspromo
MAKE CHECKS PAYABLE TO:
ADDRESSEE:
STATEMENT
REMIT TO:
Please check box if above address
is incorrect or insurance
information has changed, and indicate
change(s) on reverse side.
Please detach and return top portion with payment
IF PAYING
BY CREDIT
CARD, FILL OUT BELOW
CARD NUMBER
SIGNATU
RE
STATEM
ENT DATE
PAY THIS AMOUN
T
ACCT.
#
EXP. DATE
SHOW AMOUN
T
PAID HERE
$
AUTHORIZ
ATION CODE:
(usually
last 3 or 4 digits on back of card in signature
line)
PO Box 784
Effingham, IL 62401
Phone 217-342-7429
DISCOVER
MASTERC
ARD
VISA
EFFINGHAM OB/GYN
PO BOX 784
EFFINGHAM IL 62401-0784
!624010784846!
ACCOUNT
NUMBER
STATEMENT
DATE
PAYMENT
DUE DATE
AMOUNT DUE
BY PATIENT
PO Box 784, Effingham, IL 62401
Phone 217-342-7429
MESSAGE: WE ARE CURRENTLY SWITCHING TO ELECTRONIC MEDICAL
RECORDS TO BETTER SERVE OUR PATIENTS. YOU MAY RECEIVE 2
STATEMENTS DURING THIS TRANSITION. IF YOU HAVE QUESTIONS FEEL FREE
TO CALL OUR OFFICE.
DATE
PROVIDER
DESCRIPTION
AMOUNT
INSURANCE
PATIENT
AMERICAN
EXPRESS