Our office will always try to accommodate your requested appointment time.  However, availability is subject to the provider’s schedule.  For all urgent issues, you will be scheduled with the first available provider.


It is the patient’s responsibility to ensure that a valid referral is on file for the services being rendered with any and all extended care/specialty providers.  Referrals for a specific service are usually good for 30 to 60 days depending on the carrier.  Certain services can fall under what is considered a global referral in which case the service date may be extended.

Obtaining referrals for both services and medications can come with some challenges.  We require 7 business days to obtain these referrals to allow for such challenges.  We do not do back-date referrals.  Documentation is kept in your electronic medical record.  We do not mail or fax referrals.  Specialty offices can look them up on the carrier website when applicable.  Should your referral go into a pending or evaluation status with your provider, we will keep you informed in case your appointment date needs to be switched.  You are always welcome to pick up a hard copy of your referral at our office for your records.

Refill Requests

Please review your medications prior to your upcoming appointment to verify any refills you might need.  You may also request medication refills by calling our office or contacting us through our patient portal,  Requests will be processed and sent to the physician for approval.  Any patients that are overdue to be seen in our office will need to be seen prior to filling the request.  Allow at least 48 hours for refill requests.  Always verify the pharmacy where you would like your refills sent.  Prescription refills will not be completed during weekends or holidays.

Test Results/Questions

You may inquire about test results through or over the phone.  The message will be attended to and the provider will interpret your results.  Please allow ample time for our office staff to obtain the results and review with the provider.

Billing/Insurance Questions

Whether you are a new or established patient, please check with our office when making your appointment to verify participation with your current plan/insurance.  If there are changes in your plan or insurance company, please make us aware of it at the time of scheduling your appointment.  We require your current insurance card and identification at every visit. This will help to ensure that there are no errors at the time of billing.  Copay and deductibles are expected to be paid at the time of your visit.  Please check with your insurance company so you are aware of your plan coverage.  If you do not have insurance, full payment is expected at the time of service.  Should you have a question regarding a statement you receive, you may contact our billing company at (800) 234-2128.

After Hours

If you have an emergency, please dial 911.  During weekends and holidays a provider is on call for any non-emergent but urgent issues that arise.  Please contact the main number (586) 573-6669 or send a message through