Southeast Kansas Orthopedic Clinic Notice of Privacy Practices

Download Notice of Privacy Practice



Download Financial Policy

We have adopted the following financial policies to reduce the confusion and misunderstanding between our patients and office policies. If you have any questions regarding these policies, please discuss them with the office manager or billing department. We are dedicated to providing the best possible care and service to you and regard your complete understanding of your financial responsibilities as an essential element of your care and treatment.

Unless other arrangements have been made in advance by either you or your health insurance carrier, full payment is due at the time of service. For your convenience we accept personal check, Visa and Mastercard.

As a courtesy, Southeast Kansas Orthopedic Clinic submits claims to insurance companies for payment of services. Patients are required to pay their contracted copay, coinsurance and/or deductible per their insurance plan at checkout. Due to the frequent changes in insurance plans and benefits, our staff is required to review and update your insurance information on a regular basis.

We have made prior arrangements with many insurers and health plans to accept an assignment of benefits. This means that we will bill those plans and will only require you to pay your copay, coinsurance and/or deductible applied by your insurance. All copayments are due when you checkout. If you have insurance through a plan for which we do not have a prior agreement, we will still bill that insurance. It is up to the patient to verify that we are participating providers with their insurance plan. 

If you are involved in an “on-the-job” work injury, prior to seeing the physician, we must have received written prior authorization from your Workers’ Compensation carrier authorizing your treatment.

For all services rendered to minor patients, we will look to the adult accompanying the patient and the parent or guardian with custody for payment.

Non-Discrimination Notice, Section 1557

Download PDF Non-Discrimination Notice, Section 1557



Southeast Kansas Orthopedic Clinic (SEKOC) complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. SEKOC does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.


SEKOC provides free aids and services to people with disabilities to communicate effectively with us, such as:

Free language services to people whose primary language is not English, such as Information written in other languages

If you need these services, contact SEKOC’s Compliance Officer.


If you believe that SEKOC 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:


  • SEKOC’s Compliance Officer
  • Mailing Address: P.O. Box 678  Parsons, KS 67357
  • Telephone number: (620) 421-0881
  • Fax: (620) 421-8391
  • Email:  dspielbusch@cableone.net


You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, SEKOC’s Compliance Officer 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.



ATTENTION:  If you speak English, language assistance services, free of charge, are available to you.  Call 620-421-0881 (Spanish) ATENCIÓN:  si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística.  Llame al 620-421-0881
(Vietnamese) CHÚ Ý:  Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn.  Gọi số 620-421-0881.

(Chinese) 注意:如果您使用繁體中文,您可以免費獲得語言援助服務。請致電620-421-0881。



(Korean) 주의:  한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 620-421-0881.번으로 전화해 주십시오. (Tagalog)        PAUNAWA:  Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad.  Tumawag sa 620-421-0881
(Swahili)  KUMBUKA: Ikiwa unazungumza Kiswahili, unaweza kupata, huduma za lugha, bila malipo. Piga simu 1-620-421-0881 burmese
(French) ATTENTION:  Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement.  Appelez le 620-421-0881.

(German) ACHTUNG:  Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung.  Rufnummer: 620-421-0881



(Arabic)   ملحوظة:  إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان.  اتصل برقم 1-620-421-0881 (رقم هاتف الصم والبكم: (Russian) ВНИМАНИЕ:  Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода.  Звоните 620-421-0881 (телетайп:
(Hmong) LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau oj. Hu rau 1-620-421-0881. (Laotian) ໂປດຊາບ: ຖ້າວ່າ ທ່ານເວົ້າພາສາ ລາວ, ການບໍລິການຊ່ວຍເຫຼືອດ້ານພາສາ, ໂດຍບໍ່ເສັຽຄ່າ, ແມ່ນມີພ້ອມໃຫ້ທ່ານ. ໂທຣ 620-421-0881

(JAPANESE)  注意事項:日本語を話される場合、無料の言語支援をご利用いただけます。620-421-0881 まで、お電話にてご連絡ください。

(Burmese)  သတိျပဳရန္ – အကယ္၍ သင္သည္ ျမန္မာစကား ကို ေျပာပါက၊ ဘာသာစကား အကူအညီ၊ အခမဲ့၊ သင့္အတြက္burmese


ဖုန္းနံပါတ္ 1-620-421-0881 သုိ႔ ေခၚဆုိပါ။


(Persian)توجه: اگر به زبان فارسی گفتگو می کنید، تسهیلات زبانی بصورت رایگان برای شما فراهم می باشد. با 1-620-421-0881 تماس بگیرید.