Prescription refills for a new medication or medication never discussed with our providers will always require an appointment. You will be evaluated before a new Rx is ordered (even if the condition was evaluated by a previous PCP). New Patients: providing a list of medications does not mean our providers will fill those medications. You must be seen and have face-to-face discussions with our providers for refills on all medications.

Please note, for new medications, only 30 day supplies are provided. If you tolerate the medication and do well at a particular dosage, it can be switched to a longer supply based on provider discretion on your next follow-up visit.

If you are prescribed new medications at your appointment they will be sent to your pharmacy on the day of your visit. Some insurances may require prior authorization that can take up to 2 weeks  or  your provider may ask you to return for an additional visit where you bring your insurance formulary with you so you and your provider can agree on alternative that will be covered by your insurance.

Narcotic, Sedative and Antibiotic medications will not be refilled over the phone. An office visit will be required.

Lost or stolen narcotic (controlled or scheduled) or  sedative prescriptions will not be replaced. It is your responsibility to keep them safe and secure at all times. No exceptions will be made.

Please allow 2 business days for medication refills. Please note the “no refill left” message on the prescription bottle as a reminder to schedule your next office visit.

No refills will be sent in afterhours, weekends or holidays.

REFERRALS and FMLA  (There is a fee for FMLA Paperwork to be completed)

 Referrals are given only after being evaluated by our providers and deemed necessary.

We do not retro date referrals so please make sure you have seen us and you have your referral before you schedule with a specialist.

Please be mindful that referrals are completed within 5-7 business days from the date of your request/appointment with our provider.  If  your  insurance requires prior authorization it may take more than 7 days to complete.

An appointment is needed to complete FMLA paperwork accurately.


Our office may need request records from your previous doctor’s office.  We will ask that you sign a release so we can obtain those records.

For any patients with chronic conditions, you be required to be seen multiple times during the year for monitoring of side effects and lab work.  The timing of the visits will be dictated by your provider based on conditions and treatment. Your prescription refills will coincide with these appointments.  Our office will not give out medication refills without monitoring as it is the best standard of care.

When scheduled for an annual wellness/physical appointment, urgent  problem , new issues and medication refills will NOT be addressed by the provider at that visit. Patients that come in for a physical appointment, and have a problem or illness that needs to be addressed or treated may be asked to reschedule their physical to other day so that these acute concerns can be handled. If a condition outside of the regular physical appointment is addressed, the patient may receive an additional bill for that visit.


You should receive a call from us within one week on all test results (although some tests can take up to 2 weeks before we receive the results). If you did not hear back from us, please call our office.

If our providers would like the patient to be seen to go over the lab/test results our MA’s will call to notify you of this. The MA’s are advised not to discuss these results with patients as the providers will be going over results with the patient during the visit.


Copays, Co-insurance and deductibles are all collected at the time of service. Please be prepared to pay.

We ask that patients check in early (as instructed by our appointment scheduling staff) to allow staff to properly check you in, verify information, do updates as needed and collect copays/deductibles.

If it is necessary to reschedule an appointment please call us 24 hours in advance to cancel your appointment. If your appointment is not cancelled with a 24 hour notice will be considered a no-show and a  no-show fee of $75.00 will be applied to your account. 

If you incur 2 “No-Shows” within one year you may be discharged from the practice.

If you are late for your appointment you may be rescheduled to a later time or a different day.


When you leave a message for a medical assistant please allow 24 hours for a return call. Please do not leave multiple messages, as this only delays the process.

If you have a question for a provider you must allow 48 hours (2 business days) for a response.