Office Policies


By appointment only. Appointments can be made by calling our office during normal business hours, Monday through Friday 8AM to 5PM.

No Show Appointment

We are committed to making you an appointment at your earliest convenience; likewise, we request a courtesy call at least 24 hours in advance if you are unable to keep your appointment to allow for other patients to be seen.  Due to the alarming number of appointments not being kept or cancelled in a timely manner, a fee of $50.00 is charged for missed appointments.  Multiple missed appointments may result in our request for you to find another specialist.

After Hours & Emergency Care

If you are experiencing an emergency, dial 911 or head to the nearest emergency room. For all other calls, an on-call physician is available 24-hours a day, 7-days a week.  We will be happy to assist you after hours, but please limit these calls to urgent matters or urgent questions only.

Prescription Renewals

Prescriptions are renewed only during normal office hours. In some instances, especially when insurance authorization is necessary, we may require that the patient be seen in our office prior to medication renewal.


Payment is due at the time of services.  We accept cash, check, VISA, Mastercard, American Express and Discover.  We also offer a credit line through Care Credit which has flexible payment plans and low interest rates.  If you any questions, please let us know before being seen by the doctor.

Insurance Benefits

Please be aware that when a patient requires a visit to a specialist, there are diagnostic procedures required to diagnosis and evaluate for treatment that cannot be done by a family physician.  These procedures may be done during the normal course of the exam by the specialist.  Examples of these possible procedures you may expect based on your presenting complaints and/or findings exam are Nasal Hemorrhage Control, Laryngoscopy, Tympanometry, Cerumen Removal (ear wax), Foreign Body Removal , and Binocular Microscopy.

Depending on your insurance policy provisions, these procedures and others may fall under a separate benefit other than your office copay, such as a deductible or coinsurance.  In some cases exact insurance benefits cannot be determined until the insurance company receives the claim; therefore, any quote for services will be considered an estimate only and any payment will be considered a partial-payment only until such time that the insurance company processes your claim.  Your insurance is a contract between you and your insurance carrier; payment for services is ultimately your responsibility.  It is extremely important for you to know your coverage. 


If you have an HMO or similar plan, you will need a referral from your primary care physician to see a specialist.  If we have not received this referral prior to your arrival at our office, your appointment will be rescheduled.  It is your responsibility to know if a referral is required and to obtain one. If one is not obtained, you will unfortunately be responsible for the entire bill. 

Medical Records

Any request for medical or billing records must be accompanied by a signed request and authorization for release of information.  We will make every effort to provide these copies within 10 business days, so please make your request well in advance of other physician appointments, etc.  Depending on the recipient of the records, a fee of $25.00 may be assessed.

Forms to be Completed

Forms which are require to be filled out by the physician must be presented in a timely manner so to allow time for completion. There will be a $25.00 fee which should be paid prior to the forms being completed.  This is in respect to the specialist as it takes considerable time to review your chart and to complete most forms, such as FMLA.