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Our Clinic Policies

All patients must complete our Patient Registration form prior to seeing the doctor 

Financial Policy 

Payment in full is required at the time of service. Refusal to pay for services rendered or to make a financial arrangement will result in an account being sent to an outside collection agency. This may have a negative effect on an individual’s credit status.

We accept:

  • Cash
  • Check
  • Visa
  • Mastercard



Written consent from a legal parent or guardian is required if they do not accompany the minor. The adult accompanying the minor is responsible for full payment at the time of service.



We may call in advance to confirm your appointment. This is only a courtesy, as the responsibility remains with the patient to manage his/her appointments. If you need to cancel an appointment, please give 48 hours notice. If you do not cancel your appointment 48 hours in advance, you will be charged a fee of $25.00 for routine office visit and $50.00 for a comprehensive visit (e.g. Physical Examination).


Forms Filled by Doctor

Work or insurance related forms (such as FMLA) may be filled by the doctor for a fee paid by the patient in advance. $75 for the initial request and $10 for corrections, after the first correction. Please allow sufficient time for this request.  


Transfer of Records 

If you request the transfer of records to another doctor, there will be no charge. If you request the transfer of records to someone other than another doctor, there will be a $25.00 fee for copy/delivery cost. Payment must accompany the request. Please allow time for this request. 


I Thought This Was Covered! What You Need To Know About Your Annual Wellness Visit

Not every Annual Wellness Visit (AWV) is the same. As part of our effort to build great doctor-patient relationships we want to take a moment to prepare you for your wellness visit and the possibility of a co-pay.

Most importantly, we want you to understand that there may be out-of-pocket-costs associated with your annual wellness visit.

Communication Avoids Confusion
Every now and then, out of a concern for your well-being, your doctor may suggest medically necessary services that aren’t a standard part of the wellness visit.

This happens when your doctor discovers an acute or chronic problem which needs to be treated as soon as possible in order to maintain or stabilize your health.

When this occurs your annual wellness visit will also include a standard office visit, because of the added services being provided to address a specific health concern or condition. Instead of just providing preventative care, the doctor will also be providing diagnostic care.

According to your insurance, these medically necessary or diagnostic services are considered added services which are not part of a standard annual wellness visit.

The primary reasons for wanting to administer the additional services at the time of your annual wellness visit are three-fold:

  • To address a new or existing problem before it becomes aggravated
  • To eliminate the need for an additional office visit
  • To continue to improve each patient’s long-term health, wellness, and happiness

Examples of Added Services

  • Laboratory tests
  • Ordering and Reviewing Diagnostic Tests
  • Renewing Prescriptions
  • Making Referrals
  • Implementing Other Changes to Your Treatment or Care Plan
  • Administering Vaccines

About Your Annual Wellness Visit

What is it?
An Annual Wellness Visit is meant to be an opportunity for the doctor to get an overview of the patient’s health status, including elements of physical and mental health and general safety. This includes a review of the patient’s known chronic conditions.

This preventative medical evaluation typically includes:

  • A review of the patient’s medical history; surgeries, illnesses, hospital stays, allergies, injuries, treatments, and immunization records
  • A review of a patient’s existing health problems
  • A review of the patient’s family medical history
  • A review of the patient’s Medications and Supplements
  • Checking routine measurements; height,weight, body mass index (BMI), and blood pressure
  • Update or collection of information about current providers and suppliers regularly involved in providing patient’s medical care
  • Identifying any risks
  • Suggesting a preventative care plan

Preventative care is the cornerstone of family medicine.

Who is eligible for the Annual Wellness Visit?
Most insurance companies provide this benefit. This is a proactive preventative measure meant to detect any issues before they become difficult to treat.

What is the difference between Preventative Services and Diagnostic Services?

Preventative Services – Preventative care is given to a patient when they are symptom free and have no reason to believe they might be unhealthy. This type of preventative care is given as part of an annual wellness visit.

Diagnostic Services – Diagnostic care is what you receive when you have symptoms or risk factors and your doctor needs to diagnose them so they can accurately identify and treat your condition.

About Your Family Medical Home
At Family Medical Home our experienced doctors will always provide clear instructions and reasons for any action they take when examining patients and administering treatment.