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

Missed or Cancelled Appointments/Late Arrivals

As a courtesy, we attempt to contact every patient to remind them of their appointment.  However, it is the responsibility of the patient to arrive for  their appointment on time.  Cancellations must be received 24 hours in advance.  We reserve the right to charge for missed, cancelled, or no-show appointments.  Such fees are available for review with our office manager.  If you arrive more than 15 minutes late, we reserve the right to ask you to reschedule.  If you are running late we recommend that you call our office to verify your appointment will be honored.

Prescription Refills

We request that you obtain refills during your office visit.  If there has been an over-site, please have your pharmacy fax us a refill request.  Please plan ahead as refills may take up to 2 business days to authorize.  We will only authorize refills during office hours.  Medications will not be refilled if a patient continues to miss scheduled appointments or has not been evaluated by his/her physician in a timely manner.


We participate in most insurance plans.  Please contact our office for an updated list. If you have questions about your plan’s benefit coverage, please contact the membership department of your plan.

Co-payments, Deductibles, and Collections

Co-payments, co-insurances, and deductibles are due at the time of service.  If your medical plan determines a service is “not covered,” you will be responsible for the charge. Payment is due upon receipt of statement from the office or next office visit.  We accept cash, checks, and credit/debit cards.


Some insurances will require a referral from your primary physician to see a specialist or to have certain procedures such as injections.  If this applies to you, please make sure your physician sends us a referral to avoid delays in you seeing the specialist.  If we do not have a referral for a procedure, you may be asked to return another day to have that procedure done after we obtain a proper referral.  If you have questions about your plan’s policy, please contact the membership department of your plan.

Forms/Copies of Records

Completion of any forms that require your provider’s input can be very time consuming for both you and your provider.  You may be asked to schedule an appointment with your provider to review the requested information.  We reserve the right to charge for copying of medical records or completion of forms.  All fees are available for review with our office manager.  Please allow 1 week for forms to be completed.

Disability Policy

Your health care staff cannot become involved in any disability-related activity, including such things as filling out forms for your employer or disability insurer, making a determination about your ability to do a job, communicating with an attorney, filling out any governmental form such as Family Medical Leave Act (FMLA), or parking handicap passes, etc, until you have seen your physician or physician assistant at least three times over at least 6 months.  This is to insure we have developed as accurate a diagnostic picture and treatment approach as possible.

Test Results

You will be contacted if diagnostic results require a change in therapy.  Normal or borderline results, or results that require detailed explanation, will be discussed at your next office visit.  If you cannot wait until your follow-up visit, please contact us to schedule a visit to come in and review.

General Questions or New Problems

A telephone call can never  replace an office evaluation of a problem.  Brief questions to clarify confusion can be answered over the phone or through our patient portal.  New symptoms or complex questions will require a visit.

Insufficient Checks

If a check is presented on insufficient funds you will be responsible to redeem the check in our office on a cash basis for both the amount of tender and all fees assessed.  Our policy on such transaction is available for review with our office manager.

Patient Privacy

The federal government requires us to share our Privacy Practices, which is made available at your initial visit to our practice and is available on our website.  Please review the Privacy Practices, which explains policy on sharing patient information for treatment and billing issues.