Office hours and appointments
Office hours are Monday through Friday, 8 a.m. to 5 p.m. When making an appointment, please specify in which office you want to be seen. As a courtesy we will call to remind you of your appointment 48 to 72 hours in advance. We will be happy to work with you if you need to reschedule. Should you need to cancel or change your appointment, we ask for at least 24 hours notice, otherwise a $30.00 missed appointment fee will be charged (unless there is an emergency).

You are asked to arrive on time for your scheduled appointment. This allows our practitioners to stay on time and prevents long waits. If you arrive late for your appointment, we will determine whether you can be worked in or if you need to reschedule. If you know you are going to be more than 15 minutes late for your appointment, please call ahead to check availability of a later appointment. In case of after-hours emergency care, you will reach the answering service by dialing the office number.

After hours telephone calls
After 5 p.m., weekdays and on the weekends and holidays an answering service is available for urgent concerns. Please limit after-hours calls to urgent matters and emergencies only. In case of emergency, please call 911 and go to the nearest emergency room for immediate evaluation and medical care.

Prescription Refills
We encourage you to obtain all your prescriptions during your office visit. You should always bring a complete and up to date list of your medication and what needs to be refilled. Please allow 72 hours if your pharmacy is faxing a refill request for your medication. We will be happy to call a local pharmacy in an urgent situation or to initiate treatment. We will fax back a refill request form to a mail-order pharmacy, but our staff will not be able to call these pharmacies due to prolonged wait times.

We are not able to refill your prescriptions after office hours or during weekends and holidays. Refills involve a review of your medical records and may require periodic reevaluation which may include laboratory testing. We may not be able to provide you with refills, if you have not had proper follow-up or laboratory tests recommended to assure that continuation of the prescribed drug is safe.

Payments
• Co-pays and Deductible
You will be asked to pay your co-pay and your deductible and/ or co-insurance fees required by your insurance company prior or at the time of your appointment or procedure. If you do not we may have to reschedule an appointment.
If you do not have insurance (“self pay”) or have insurance that is not contracted with us you should discuss this with one of our financial counselors prior to scheduling an appointment. She will prepare an estimated cost of services and will make appropriate arrangement. We have a discounted fee schedule for patients who pay their medical expenses at the time of service.
• Cancellation Fee
If you must cancel your appointment, kindly provide a 24 hours notice, so another patient may be fit in to your time slot. A $30 no show/ missed appointment fee will be added to your bill if advanced notice is not given.
• Payment Options
Cash, check or money order Visa, MasterCard and American Express

Regarding your bill
We hope information on this web site will assist you in preparation of your visit and understanding your financial obligations. Having and understanding this information, will allow you to focus on your health care needs. Please let us know if we can answer any additional questions to make the financial side of your experience with us as easy as possible, so you can focus on your health and wellness. If you have any question about your bill, you may call our billing office at 703-938- 6420 weekdays between 8:30 a.m. to 5 p.m.

Referrals and Authorizations
Health maintenance organizations (HMOs), and some managed care plans require a referral from your primary care physician for specialty care. Since there is wide variation in the requirement of these organizations, it is your responsibility to know the limitations and requirements and obtain necessary referrals, otherwise you may be responsible for payment. Your appointment may need to be rescheduled if you do not provide the appropriate approval.