WELCOME TO MFA A Tool Kit for New Doctors Rev. 4/14 1
Welcome to the Tool Kit for New Doctors Catalog. Throughout this catalog you will find the branding standards developed by the Medical Faculty Associates. It s critical that the brand and identity remain consistent throughout all our communications. Business Cards... 4 Appointment Cards... 5 Prescription Pads... 6 Table of Contents Stationery... 7 Patient Collateral, Note Pads, Forms and Specialty Items... 8-9 The Caskey Group is the operations partner for the Medical Faculty Associates. Orders received by noon on Thursday will deliver the following Tuesday. Every Tuesday a Caskey Group delivery driver is available to pick up items as needed. Personal one-on-one contact with the Caskey Group representative is available every Friday. Please contact Tony Rife at trife@caskeygroup.com to make an appointment. After you identify all your communication items (see checklist on page 11), we will develop a personalized storefront for your office at mfa.caskeycommunications.com. We will provide a username and password for your office s access. We look forward to working with you. OPERATIONS PARTNER CONTACTS To contact your support team, call (717) 764-4500 or e-mail as follows: For one-on-one appointments, contact Tony Rife trife@caskeygroup.com Todd McGovern Chief Marketing & Business Development Off icer (202) 677-6184 tmcgovern@mfa.gwu.edu For questions regarding your order, contact Katie Ryan kryan@caskeygroup.com For questions regarding the storefront, contact Swiler Delp sdelp@caskeygroup.com 2
25th Street Norton Street NW 24th Street 23rd Street Foggy Bottom GWU Metro 22nd Street Little Falls Road NW Loughboro Road NW M Street L Street K Street I Street H Street 21st Street PRODUCTS YOU WILL NEED TO GET STARTED EXTERNAL Mailings Please contact Todd McGovern for more information. Doctor Announcement Mailer Letters to New Patients DERMATOLOGY 2150 Pennsylvania Avenue, NW, 2nd Floor Washington, DC 20037 The GW Medical Faculty Associates The MFA is committed to comprehensive, thorough, and accessible patient care. Our 950+ physicians see patients on our main campus at GW, and at Sibley Memorial, Suburban, Inova Fairfax, Inova Mount Vernon, Shady Grove, Washington Adventist and Reston Hospitals, too. The MFA is a national leader in implementation of the Electronic Healthcare Record, which allows doctors to work from a single, secure electronic patient file. Innovation in clinical care. Innovation in education and research. Innovation in health information technology. gwdocs.com The GW Medical Faculty Associates Department of Anesthesiology Welcomes Palak Turakhia, md, mph Carolina, Chapel Hill, where she remained on faculty. While Sibley at the University of North Carolina, she gave several departmental grand rounds and several pharmacology (P) 202.364.6312 (F) 202.364.6320 lectures to the medical students. She also was involved GW in the annual Pain, Addiction, and the Law conference. (P) 202.715.4599 (F) 202.715.4598 Palak Turakhia, MD, MPH is board-certified in Anesthesiology and is an assistant professor with The George Washington University School of Medicine & Health Sciences. She is originally from Louisiana and completed her undergraduate degree in history at Duke University. She completed her medical degree and Masters in Public Health in International Health and Development at Tulane University, where she received the medical school alumni award. She completed her Anesthesiology residency at Emory University and her fellowship in Pain Management at the University of North Department of Anesthesiology Welcomes Palak Turakhia, MD, MPH Assistant Professor of Anesthesiology Suite 600 Dr. Turakhia s clinical interests include geriatric and cancer pain management. Dalecarlia Place NW Clara Barton Parkway Potomac Avenue NW Pennsylvania Avenue Sherier Place NW New Hampshire Avenue Macarthur Boulevard Newark Street NW Watson Street NW Suite 210 5215 Loughboro Road, NW Washington, DC 20016 Garage parking is available for a modest fee. The entrance is located on Loughboro just east of the main hospital entrance. Appointments (P) 202.364.6312 (F) 202.364.6320 2131 K Street, NW Washington, DC 20006 Garage parking is available for a modest fee. The entrance to the garage is just east to the clinic entrance and two blocks east of the Foggy Bottom Metro station (Orange & Blue Lines). Appointments (P) 202.715.4599 (F) 202.715.4598 phone: 202.741.2600 fax: 202.741.2609 January 3, 2014 Dear Patient: We have some exciting news. The Department of Dermatology has expanded with the addition of three physicians and a location in suburban Maryland. Our newest physicians Drs. Brendan Camp, Andrea Morris and Hon Pak are now accepting patients at: 4920 Elm Street Suite 250 Bethesda, Maryland 20037 Phone: 240.483.0555 It is our sincere privilege to meet your dermatologic needs and we look forward to seeing you again, perhaps in our new Bethesda office. Sincerely, Alison Ehrlich, MD Professor & Chair Sibley 202.364.6312 GW 202.715.4599 gwdocs.com Facebook.com/GWdocs Twitter @GW_MFA YouTube.com/theGWMFA GW Medical Faculty Associates gwdocs.com INTERNAL Operations Business Cards Appointment Cards Prescription Pads Stationary Privacy Notice Brochures - English and Spanish Versions Privacy Acknowlegement Forms - English and Spanish Versions 10-up Blank Label Sheets (until stationary arrives) Cashiers Receipt Form E-letterhead (for internal official documents) WEBSITES Operations instore.caskeycommunications.com/mfa Please let Katie Ryan (kryan@caskeygroup.com) know the email address of the appropriate contact person. A username and password will then be provided to access the website for online ordering of materials. Apparel mfaclothing.caskeygroup.com This website is for employees to purchase MFA apparel. Initial apparel order will take place at orientation days. Contact Jason Martin (jmartin@caskeygroup.com) with questions. Physician Directory caskeygroup.pagealley.com/mfa_lists Username: GWDocs Password: MFAlists (note: username and password are case sensitive) This website will help you connect your services to GW doctors throughout Washington DC, VA, and Maryland. 3
BUSINESS CARD REQUEST FORM Please copy and complete the following information. FAX to: Caskey Group Attn: Katie Ryan at (717) 764-5003. NAME Title 1 Title 2 Department 2150 Pennsylvania Avenue, NW Washington, DC 20037 phone: (202) 741-0000 fax: (202) 741-0000 email: aname@mfa.gwu.edu PLEASE NOTE: George Washington University Medical Center, and George Washington University Hospital cannot be used in your title. These are separate cards acquired through the Hospital and Medical Center. Business cards are ordered by the box (500) $47.00 per box Initial orders are subject to an additional $30.00 branding fee. NOTE: There are no 2-Sided business cards Leave space blank if you do not want added to your business card. NAME: TITLE: DEPARTMENT: ADDRESS: TELEPHONE (OFFICE): CELL: FAX: E-MAIL: QUANTITY: (500 per BOX) REQUESTED BY: TELEPHONE: FAX: COST CENTER: DELIVER TO ROOM / ATTN: 4 If any of the information above is missing, the order will be delayed until all of the information is received. A proof will be issued within 24 hours of the order submission. All business cards must be approved by noon on Thursday as we print on Friday and deliver on Tuesday. For questions, contact: Katie Ryan at (800) 864-2040 x108 or Tony Rife at (717) 577-5123 kryan@caskeygroup.com trife@caskeygroup.com
APPOINTMENT CARD REQUEST FORM Please copy and complete the following information. FAX to: Caskey Group Attn: Katie Ryan at (717) 764-5003. DEPARTMENT HAS AN APPOINTMENT DATE TIME AM PM Please call at least 48 hours in advance if you are unable to keep your appointment. phone: (202) 741-0000 The GW Medical Faculty Associates 2150 Pennsylvania Avenue, NW Washington, DC 20037 Appointment cards are ordered by the box (500) $47.00 per box Initial orders are subject to an additional $30.00 branding fee. Leave space blank if you do not want added to your appointment card. DEPARTMENT: ADDRESS: TELEPHONE (OFFICE): QUANTITY: (500 per BOX) REQUESTED BY: TELEPHONE: FAX: COST CENTER: DELIVER TO ROOM / ATTN: If any of the information above is missing, the order will be delayed until all of the information is received. A proof will be issued within 24 hours of the order submission. All business cards must be approved by noon on Thursday as we print on Friday and deliver on Tuesday. For questions, contact: Katie Ryan at (800) 864-2040 x108 or Tony Rife at (717) 577-5123 kryan@caskeygroup.com trife@caskeygroup.com 5
PRESCRIPTION PAD REQUEST FORM PRESCRIPTION Please copy and complete PAD the REQUEST following information. FORM PRESCRIPTION PAD REQUEST FORM FAX to: Caskey Group Attn: Katie Ryan at (717) 764-5003. License Info: License License Info: Info: DEA: Line only DEA: Line only DEA: Line Number only Number Number NPI: Line only NPI: Line only NPI: Line Number only Number Number DCCSC: Line only DCCSC: Line only DCCSC: Line Number only Number Number CS: Line only CS: Line only CS: Line Number only Number Number CSC: Line only CSC: Line only CSC: Line Number only Number Number The George Washington University The Medical George Faculty Washington Associates University Medical The George Faculty Washington Associates University Medical Division or or Faculty Department Associates Division Address or 1 Department Division Address 1or 2 Department Address 202.741.0000 21 Fax: 202.741.000 202.741.0000 Address 2 Fax: 202.741.000 202.741.0000 Fax: 202.741.000 DEA# 000000000 Your Name Here DCCSC# DEA# 000000000 Your Name Here DCCSC# DEA# 000000000 Your Name Name Here Date DCCSC# 000000000 Name Date Name Address Date Age Address Age Address Age Rx Rx Illegal If If Not Not Safety Blue Blue Background Rx Illegal If Not Safety Blue Background Rx Illegal If Not Safety Blue Background Refill Times PRN NR Refill Times PRN NR Refill Times PRN NR Signature Signature Signature TO DAW: Handwrite BRAND MEDICALLY NECESSARY in in the space below TO DAW: Handwrite BRAND MEDICALLY NECESSARY in the space below TO DAW: Handwrite BRAND MEDICALLY NECESSARY in the space below Prescription Pads are ordered by the pad (100 sheets) $11.00 per pad Initial orders are subject to an additional $30.00 branding fee. Type or clearly print the following information. Type Type or or clearly clearly print print the the following following information. information. Type or clearly print the following information. 1. PROVIDER S 1. PROVIDER S NAME NAME 1. PROVIDER S NAME 1. PROVIDER S NAME 2. DEPARTMENT 2. (if applicable) (if applicable) 2. DEPARTMENT (if applicable) 2. DEPARTMENT (if applicable) 3. ADDRESS 3. PHONE NUMBER 3. PHONE NUMBER 3. PHONE NUMBER 4. PHONE NUMBER This information will appear where shown in the above sample. If If additional information is necessary, please This information will appear where shown in the above sample. If additional information is necessary, please This indicate information desired placement will appear of where information. shown in the above sample. If additional information is necessary, please This indicate information desired will placement appear where of information. shown the above sample. If additional information is necessary, please indicate desired placement of information. indicate QUANTITY desired (100 placement per pad). of information. QUANTITY (100 per pad). QUANTITY: (100 sheets per per pad). PAD) Pads 6 REQUESTORS NAME PHONE NUMBER REQUESTORS NAME PHONE NUMBER REQUESTORS NAME PHONE NUMBER FAX NUMBER COST CENTER FAX NUMBER COST CENTER FAX NUMBER COST CENTER SHIP TO ROOM NUMBER SHIP TO ROOM NUMBER SHIP TO ROOM NUMBER Once completed, FAX request to Caskey Printing, Inc. 717-764-5003 - ATTN: Katie Gilbert. A Proof will be Once to Printing, Inc. ATTN: Katie Gilbert. Proof will be Once e-mailed completed, completed, to the requestor FAX request FAX request within to the to Caskey 24 Caskey hours. Group Printing, All Rx at Inc. Pads 717-764-5003 717-764-5003 must be approved - ATTN: Katie - ATTN: by Ryan. Katie noon A Gilbert. on proof Thursday, will be A Proof printing will be e-mailed 24 All Rx Pads must be approved by noon on Thursday, printing e-mailed will occur to to on the the Friday requestor requestor and delivery within within will 24 hours. 24 be hours. made All Rx All on Pads Rx Tuesday. must be approved by noon on Thursday, printing will Pads must be approved by noon on Thursday, printing will occur occur on Friday on Friday and and delivery delivery will will be made be made on Tuesday. on Tuesday. will occur on Friday and delivery will be made on Tuesday.
STOREFRONT MATERIALS 1 Doctor Listing Letterhead 2 Department or Division Letterhead DEPARTMENT OR DIVISION DEPARTMENT OR DIVISION Address City, ST XXXXX phone: XXX.XXX.XXXX fax: XXX.XXX.XXXX Address City, ST XXXXX phone: XXX.XXX.XXXX fax: XXX.XXX.XXXX M. Karim Ali, MD, FACS Clinical Professor of Surgery ENT, Facial Skin Malignancy, Nasal & Sinus Disorders Arjun Joshi, MD, FACS, FRCSC Assistant Professor of Surgery Head & Neck Oncology Microvascular Reconstruction Thyroid & Parathyroid Surgery Nader Sadeghi, MD, FRCSC Professor of Surgery Head & Neck Oncology Skull Base Surgery Thyroid & Parathyroid Surgery Ameet Singh, MD Assistant Professor of Surgery & Neurosurgery Nasal & Sinus Disorders Endoscopic Sinus Surgery Minimally Invasive Brain Tumor Surgery DEPARTMENT OR DIVISION Address City, ST XXXXX phone: XXX.XXX.XXXX fax: XXX.XXX.XXXX for example... M. Karim Ali, MD, FACS Clinical Professor of Surgery ENT, Facial Skin Malignancy, Nasal & Sinus Disorders DEPARTMENT OR DIVISION Address City, ST XXXXX phone: XXX.XXX.XXXX fax: XXX.XXX.XXXX Arjun Joshi, MD, FACS, FRCSC Assistant Professor of Surgery Head & Neck Oncology Letterhead Sheets: 500 Microvascular - $205.00 1000 Reconstruction - $250.00 1500 - $298.00 Initial orders are subject to an additional $30.00 branding fee. Letterhead Sheets: 500 - $205.00 1000 - $250.00 1500 - $298.00 Initial orders are subject to an additional $30.00 branding fee. 3 Blank Second Sheet 4 #10 Department or Division Envelope DEPARTMENT OR DIVISION Address City, ST XXXXX Envelopes: 500 - $224.00 1000 - $309.00 1500 - $353.00 Initial orders are subject to an additional $30.00 branding fee. DEPARTMENT OR DIVISION Address City, ST XXXXX Second Sheets: 500 - $30.00 1000 - $60.00 1500 - $90.00 (Second sheets are $30.00 per 500 ) 7
5 Pocket Folder 6 Note Pad The GW Medical Faculty Associates phone: 202.741.3000 web: www.gwdocs.com $.722 each (available in boxes of 96) GWDOCS.com The GW Medical Faculty Associates 2150 Pennsylvania Avenue, NW Washington, DC 20037 Phone : 202.741.3000 $.70 each (available in boxes of 320) 7 myhealth Brochure 8 Pen (Blue Barrel with White Imprint - Black Ink) $.35 each (100 piece minimum order) $.69 each (available in boxes of 1400) 8
9 Privacy Notice Brochure - English 10 Privacy Notice Brochure - Spanish Privacy Brochures (English and Spanish) $.833 each (available in boxes of 1800) 11 Privacy Acknowledgment Form - English 12 Privacy Acknowledgment Form - Spanish Privacy Forms (English and Spanish) $.021 each (available in packs of 100) 13 10-up Blank Label Sheets 14 Cashiers Receipt Form $158.00 per 1000 (minimum order of 1000) $185.00 per 1000 (minimum order of 1000) 9
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! Please complete the following information and return to or FAX to: Caskey Group Attn: Katie Ryan at (717) 764-5003. ORDER FORM DEPARTMENT OR DIVISION ADDRESS PHONE FAX CONTACT NAME PHONE E-MAIL COST CENTER Please check and insert quantities for items you wish to order: q Business Card q Appointment Card q Prescription Pad q 1 Doctor Listing Letterhead and Quantity q 2 Department or Division Letterhead and Quantity q 3 Blank Second Sheet and Quantity q 4 #10 Department or Division Envelope and Quantity q 5 Pocket Folder and # of Boxes q 6 Note Pad and Quantity q 7 myhealth Brochure and Quantity q 8 Pen and Quantity q 9 Privacy Notice Brochure - English and Quantity q 10 Privacy Notice Brochure - Spanish and Quantity q 11 Privacy Acknowledgment Form - English and Quantity q 12 Privacy Acknowledgment Form - Spanish and Quantity q 13 10-up Blank Label Sheets and Quantity q 14 Cashiers Receipt Form and Quantity 11
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