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Please call if you are running late. Patients arriving more than 15 minutes late may be asked to reschedule.

We request that patients who are unable to keep an appointment contact our office at least 24 hours prior to the scheduled appointment time since there are usually other patients that could benefit from this slot. Patients who do not contact the office within 24 hours period to cancel their appointment may be charged a $40 fee for the missed appointment. Patients are responsible for updating their contact information and email address.

Insurance companies and Medicare cover the “Annual Wellness Visit” every 365 days. At the discretion of the provider, you may be billed for an actual office visit in addition to the wellness visit should there be multiple issues covered during the visit. This may result in a co-pay that the patient will be responsible for. 

Please allow at least 48-72 hours to process non-emergency referral requests. Emergency referrals will be handled as quickly as possible and may be expedited by the staff. Insurance companies prohibit retroactive referrals, so it is the patient’s responsibility to obtain a referral before seeing their specialist. Referrals may be picked up in person or mailed to your home if time allows. Referrals will not be emailed due to privacy issues.

Prescription refills require close monitoring by your physician or physician assistant to ensure the safe continuation of the appropriate dose, frequency and term of that medication. Your provider will prescribe the appropriate number of prescription refills until your next scheduled appointment.
Please allow 48-72 hours to process prescription requests. Electronic requests may be requested through your pharmacist. If you have not been seen at the office for more than 6 months, you may need to be seen by a provider. Medications requiring pre-authorization may require additional time to process. Please plan ahead for refills during the holidays and when traveling.
At the discretion of the provider, there may be a $10.00 fee assessed for after hours or weekend prescriptions.
Prescription drugs classified as controlled substances are not processed after hours or on the weekends. 
Our providers participate in the Virginia Prescription monitoring program. 
Photo ID or patient authorization is required when picking up any prescriptions, sample medications, documents, and referrals.

We are happy to complete any forms you have. However, due to the additional time required to complete these forms, there may be additional charges as follows:
Simple Health Declaration      $25.00  

Complicated Health Declaration      $35.00  

Health and Wellness forms (not related to a visit)    $35.00  

DMV forms (not related to a visit)     $25.00  

Medical testimony (Reasonable accommodation, disability etc.) $50.00

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