Our Office Policies

Appointments
Our office schedules visits by appointment only. Walk-ins are not permitted. We will
make every effort possible to see emergent and urgent conditions in a timely manner.
Every effort is made to see our scheduled patients on time.

Patient Forms
The patients coming to our office for an appointment can download the patient history
forms and print them at home. Filling out these forms ahead of time will save a
significant amount of time during your visit. Please be prepared to bring this
information to our office along with your current medical insurance information. If you
have any questions when filling out these forms, please do the best you can and our
staff will assist you with your questions on the day of your appointment.

Cancellations
If you are unable to keep your scheduled appointment, please call us at least 24 hours
in advance. Also, please call if you know you are going to be late. This courtesy allows
us to accommodate other patients.

New Patients
On your first visit to our office, please plan to:
Bring a list of all medications you are presently taking and a detailed list of all previous
surgery procedures.
Bring any imaging studies (x – ray, CT -scans, and MRI’s) not just the written report.
Bring your insurance card and a photo I.D.

Referrals
If your insurance requires you to have a referral, it is your responsibility to obtain the
referral and make sure it is in our office prior to your appointment.

Payment Policy
Co-payments are collected at the time of visit. For your convenience, we accept cash,
checks, and credit cards (Visa, MasterCard, Amex, and Discover). If you come without
your co- payment your appointment may be rescheduled.
If you do not have health coverage, or are in financial distress, a payment plan can be
established. When on the payment plan and a situation arises that affects your ability
to make your payment, please contact our Business Office immediately at 401 – 738-
7442. Communication is very important. If your account is placed with a collection
agency, you will be unable to make a future appointment until your debt is resolved .
A fee of $25.00 will be added to your account for returned checks.

Minor Patients
If your child is under 18 years of age, he or she must be accompanied by a responsible
adult at the time of the appointment. Without a responsible adult with the underage
patient, the appointment will be rescheduled. It is unlawful to treat a minor without
the consent of a parent or legal guardian.

Prescription Refills
Please contact your pharmacy and ask them to fax us a refill request to 401-739-7077.
Allow up to 72 business hours to process your request. Refills of narcotics does not
constitute an emergency, and will not be refilled on offhours, weekends or holidays.