Policies:
Financial
We accept most major insurances. Please verify with your insurance provider that our doctors are covered under your plan.
All co-payments are due at the time of service. Payment is due in full at the time of service
if you are a selfpaying patient, or you have a plan that we do not accept. We accept payment
in the form of cash and check, as well as four major credit cards including American Express,
Visa, MasterCard, and Discover.
Forms
As of March 1, 2007, we now charge a $5.00 processing fee per form, with one form free at the
time of physical exam. This includes all school, camp, medical administration, and any additional
form that requires a physician’s signature. We ask you to allow three business days for us to
process and complete the form.Please note that your physical exam must be up to date. If you
would like us to mail the form, please provide a stamped, addressed envelope and the correct
processing fee. We do not fax completed forms.
Prescription Renewals
Prescription renewal requests take 24 hours to process. If you place the request before 3:00 PM
on a regular business day, we will do our best to fulfill the request before the end of the day.
Please note that your physical exam must be up to date for the request to be completed.
Medical Referrals
If you are referred by our practice to another doctor’s office, please note that we require 24 hours
notice on all non-emergent insurance referral requests.
Medical Record Requests
If you would like to request a copy of your medical records, please download and complete
the Medical Record Release Form found under the Forms section of our website. You can mail in,
fax, or drop off the form to our office. Please note that we require seven business days to collect
and copy your records.
Patient Registration
Medical Records Release Form
Centers for Disease Control and Prevention