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					PASSPORT




International Patient Center
           PASSPORT TO HEALTH


                  Welcome to

    St. Luke’s Episcopal Hospital (SLEH)

                    and our

      International Patient Center (IPC)


 You and your family are very important to us


       In your IPC Passport you will find

all the necessary information about our services

    We hope to make your health care visit

              a very pleasant one
                  TABLE OF CONTENTS                                                            PATIENT DETAILS

Patient Details . . . . . . . . . . . . . . . . . . . . . . . . . . 1
The International Patient Center (IPC)                                     PATIENT NAME


  Location of IPC . . . . . . . . . . . . . . . . . . . . . . . . 2        MEDICAL RECORD
  Special Services . . . . . . . . . . . . . . . . . . . . . . . 3
  Referrals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4    DATE OF BIRTH


  Financial Services . . . . . . . . . . . . . . . . . . . . . 4
                                                                           NATIONALITY
  Billing/Collection Services . . . . . . . . . . . . . . . 5
  Our Offices Abroad . . . . . . . . . . . . . . . . . . . . 6             ADDRESS

How to Use Your Phone Card . . . . . . . . . . . . . . 7
                                                                           ADDRESS
Airlines and Hotel Information . . . . . . . . . . . . . . 8
Travel Arrangements . . . . . . . . . . . . . . . . . . . . . 9            PHONE

VISA Information . . . . . . . . . . . . . . . . . . . . . . . 10
                                                                           DOCTOR AT ST. LUKE’S EPISCOPAL HOSPITAL
Contact Numbers for . . . . . . . . . . . . . . . . . . . . 11
 Consulates/Embassies
                                                                           INTERNATIONAL PATIENT REPRESENTATIVE
Notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Feedback . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17        INSURANCE DETAILS




                                                                                                                     1
    INTERNATIONAL PATIENT CENTER                                    INTERNATIONAL PATIENT CENTER

             Our Main Office Location                          Special Services: 832.355.3350
            St. Luke’s Episcopal Hospital                       •	 Airport	assistance	upon	your	arrival	and	
            6720	Bertner	Ave.,	Suite	P734                          departure at the IAH Bush Intercontinental or
             (Purple	Elevators,	7th	floor)                         Hobby Airport
                 Houston,	TX	77030
                                                                •	 Assistance	with	transportation	to/from	
         Monday–Friday 8:00 am –5:00 pm
                                                                   Houston airports
                Phone: 832.355.3350                             •	 Airport	Lounge	for	our	International	Patients	
      Inside	the	hospital	dial	extension:	53350                    located on the first floor of the International
                 Fax:	832.355.3002                                 Terminal E at IAH Bush Intercontinental Airport
           Email: international@sleh.com                        •	 Assistance	with	hotel	reservations	and/or	long	
    (St.	Luke’s	Episcopal	Hospital	Main	Phone:	832.355.1000)       term housing
                                                                •	 Assistance	with	air	ambulance	transfer
                       YOUR REPRESENTATIVE                      •	 Assistance	with	translation	in	more	than	
                                                                   20 languages while in the hospital
         We have a representative on call for all our
       International patients 24 hours/7 days a week.           •	 Daily	visits	from	our	International	
       Please don’t hesitate to call us at 832.355.3350            Patient Representatives to identify your
                                                                   special needs
                                                                •	 Assistance	with	prescriptions	upon	discharge
            Outpatient Office Location
                                                                •	 Assistance	with	purchase/rental	of	medical	
    1st	floor,	St.	Luke’s	O’Quinn	Medical	Tower
                                                                   equipment
            (across	from	the	pharmacy)
              6624	Fannin	St.,	Suite	140		                      •	 Information	on	Houston’s	entertainment
                Phone: 832.355.8642                             •	 Assistance	with	bereavement	process,	should	
                   Fax:	832.355.6682                               the need arise
                                                                •	 Assistance	with	sitters	and	home	health
                       YOUR REPRESENTATIVE
                                                                •	 Fax	and	Internet	access
2                                                                                                                    3
     INTERNATIONAL PATIENT CENTER                              INTERNATIONAL PATIENT CENTER

Referrals: 832.355.4971 832.355.4672                     Billing/Collection Services:
After hours: 832.355.3350                                			•	 Explanation	of	other	providers	charges
  •	 Schedule	appointments	with	physicians,	medical	        •	 Explanation	for	billing	queries	after	your	
     procedures and/or tests                                   discharge
  •	 Coordination	of	ground	and	air	ambulance	transfer      •	 Physician	payments
  •	 Second	medical	opinions	
  •	 Translation	of	medical	reports                      Financial Queries:
                                                         For your convenience, please document your
Financial Services:                                      questions before meeting with the financial
  Inpatient: 832.355.2022                                counselor.
  Outpatient: 832.355.8097
  •	 Pre-registration/admission	and	discharge	process
  •	 Financial	assistance	with	International	
     transactions
  •	 Insurance	verification	and	authorization
  •	 Payment	options	(cash,	traveler’s	checks,	
     wire	transfers,	American	Express,	Visa,	
     Master	Card)
  •	 Daily	updates	on	your	account	with	our	
     International Financial Counselor
  •	 Consolidated	billing	for	hospital	and	
     professional fees upon request

4                                                                                                            5
        INTERNATIONAL PATIENT CENTER                 HOw TO uSE yOuR PHONE CARD

Call us toll free from                           1. Dial 1.800.575.6815 for English.
Italy          800.875.607
                                                 2. Scratch off the black line for the PIN number;
Mexico									001.800.010.1784                     dial the pin number.
Peru           0.800.50737
                                                 3.	If	you	are	calling	from	the	hospital,	dial	
Philippines 800.1.111.0851
                                                    9 + 011 + country code + city code + phone
Venezuela				0.800.100.3376                         number.

In	some	countries,	the	International	Patient	    4. You can use the phone card from any phone
Center	has	a	representative	(noted	below)           inside or outside the hospital.
                                                 5. If you need further instructions in any other
Contact information for representative in your      language,	please	inform	your	representative	
country:                                            to obtain assistance.



NAME



PHONE



EMAIL




6                                                                                                7
                             AIRLINES                                                 TRAvEL ARRANgEmENTS

Aero Mexico:	1.800.237.6639		www.aeromexico.com
                                                                        Departure
Air France: 1.800.237.2747 www.airfrance.com
American Airlines: 1.800.433.7300 www.aa.com
                                                                        AIRLINE
British Airways: 1.800.247.9297 www.britishairways.com
Continental: 1.800.231.0856 www.continental.com
                                                                        FLIgHT NO.
Emirates Airlines: 1.800.777.3999 www.emirates.com
Lufthansa: 1.800.645.3880 www.lufthansa.com
                                                                        DATE
KLM: 1.800.374.7747 www.klm.com
Mexicana Airlines:	1.800.531.7921	www.mexicana.com                      Transportation to Airport
Qatar Airways: 1.877.777.2827 www.qatarairways.com
Saudi Arabian Airlines: 1.800.472.8342 www.saudiairlines.com            DATE


                                                                        TIME
                         AREA HOTELS

Best Western Plaza Hotel:	713.522.2811	(2	blocks	to	SLEH)               COST	(TO	BE	PAID	TO	THE	DRIVER)	
Four Seasons:	713.650.1300	(Downtown)
Hilton Medical Center:	713.313.4000	(2	blocks	to	SLEH)                  Hotel Reservation
Holiday Inn:	713.528.7744	(2	blocks	to	SLEH)
Marriott Medical Center:	713.796.0080	(1	block	to	SLEH)                 HOTEL NAME

Marriott Residence Inn:	713.660.7993	(approx.	3	km)
St. Regis Hotel:	713.	840.7600	(Galleria	Area)                          ADDRESS

Westin Oaks:	713.623.4300	(Galleria	Area)
                                                                        CONFIRMATION #
Westin Galleria:	713.960.8100	(Galleria	Area)
Zaza Hotel:	713.526.1991	(Museum	District	Area)
                                                                        RATE

Most	of	the	hotels	in	the	Texas	Medical	Center	provide	medical	rates	
and a courtesy shuttle to and from SLEH.                                If	you	encounter	any	problems	or	changes,	please	contact	
                                                                        your	IPC	rep	or	our	rep	on-call	after	hours	or	on	weekends	
8                                                                       at 832.355.3350 for assistance.                               9
                                                                CONTACT NumBERS
             vISA INFORmATION                          OF THE CONSuLATES (C) / EmBASSIES (E)
                                                          COUNTRY          NUMBER          LOCATION
Important                                          C      ARgENTINA        713.871.8935    HOUSTON
  	•	If	while	you	are	here,	your	form I-94         E      BAHRAIN          202.342.1111    WASHINGTON,	DC
                                                   C      CANADA           713.821.1440    HOUSTON
     (non-immigrant	arrival-departure	record)	     C      COLOMBIA         713.527.8919    HOUSTON
     expires,	you	have	to	extend	your	stay	in	     C      COSTA RICA       713.266.0484    HOUSTON
     USA with Homeland Security.                   E      CROATIA          202.588.5899    WASHINGTON,	DC
                                                   C      ECUADOR          713.572.8731    HOUSTON
  •	 Please	be	aware	of	this	and	check	the	        C      EgYPT            713.961.4915    HOUSTON
     expiration	date.	We	suggest	you	file	for	     C      EL SALVADOR      713.270.7718    HOUSTON
     an	extension	at	least	45	days	before	your	    C      gREECE           713.840.7522    HOUSTON
     stay	expires.                                 C      gUATEMALA        713.953.7447    HOUSTON
                                                   E      HONDURAS         202.966.7702    WASHINGTON,	DC
  •	 With	the	form I-539	(application	to	extend/   C      ISRAEL           713.627.3780    HOUSTON
     change	non-immigrant	status),	you	are	        C      ITALY            713.850.7520    HOUSTON
     required to submit a copy of the front/back   E      KUWAIT           202.686.4304    WASHINGTON,	DC
                                                   C	     MEXICO	          713.271.6800	   HOUSTON
     of the form I-94 of each person.              C      NICARAgUA        713.789.2762    HOUSTON
  •	 The	fee	for	this	application	is	$200 USD.     E      OMAN             202.387.1980    WASHINGTON,	DC
     Note: Fee may be subject to change.           C      PANAMA           713.622.4459    HOUSTON
                                                   C      PERU             713.355.9517    HOUSTON
  •	 For	more	information	please	visit:					       E      PHILIPPINES      202.467.9300    WASHINGTON,	DC
     www.uscis.gov                                 C	     QATAR	           713.355.8221	   HOUSTON
                                                   C      RUSSIA           713.337.3300    HOUSTON
  •	 National	Customer	Service:	1.800.375.5283     C      SAUDI ARABIA     713.785.5577    HOUSTON
                                                   C      SLOVENIA         713.361.4900    HOUSTON
                                                   C      SPAIN            713.783.6200    HOUSTON
Please ask your representative to help with the    E      THAILAND         202.944.3600    WASHINGTON,	DC
process and submit the application to Homeland     C      TURKEY           713.622.5849    HOUSTON
Security.                                          E      UNITED ARAB      202.243.2400    WASHINGTON,	DC
                                                          EMIRATES
                                                   C      UNITED KINgDOM   713.659.6270    HOUSTON
                                                   C      VENEZUELA        713.974.0028    HOUSTON
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     NOTES   NOTES




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     NOTES   NOTES




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     NOTES                                                                                 Your feedback is very valuable to us.
                                                                                            Please spend a few moments and
                                                                                                 help us serve you better.




             PLEASE TEAR THIS PAgE AT THE PERFORATION AND gIVE IT TO YOUR REPRESENTATIVE




                                                                                                        Thank You….
                                                                                             It is a pleasure having you here!
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www.stlukestexas.com

				
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