HELPFUL PRE-APPOINTMENT INFORMATION FOR OUR PATIENTS We are very appreciative of the confidence and trust you have placed in us to select our practice for your medical care. On our PATIENT FORMS page you will find various forms that you may need to fill out and bring to your appointment. Please review the PATIENT FORMS page to see if there are any that are applicable to your appointment. Additionally, those patients who have Patient Portal Access may want to log in using their unique username and password and review their health care summary and notify us of any updates or changes. Please remember the following:
ROUTINE MEDICATION REFILLS Our professional, laboratory and testing fees are very competitive with other physicians in the area. If you belong to a medical insurance plan in which we participate, you will be responsible for your co-payment and/or deductible at the time of service. All other charges will be billed directly to the insurance company. All patients are responsible for deductibles, uncovered benefits, and any outstanding balances determined by your insurance company after your claim has been processed. If we do not participate in your medical insurance plan, we expect payment for all office services at the time of your visit including payment for any past due balances. All patients will get an itemized receipt at the end of their visit containing all the information insurance companies will need to process claims. We accept cash, check, Mastercard, VISA or Discover. All payments should be made to Quality Internal Medicine. There is a $35 returned check fee if there are insufficient funds in your account. If a monthly payment plan might be necessary, our billing staff can help you and we ask that you contact us PRIOR to your visit. Future services may be deferred due to lack of payment of past due balances. After reasonable efforts to obtain payment for past due balances are unsuccessful, delinquent accounts will be processed for collections and fees associated with collections efforts will be added to the amount due.
Please anticipate your refills needs.
A. Via telephone or through Patient Portal Access, please notify us or your pharmacy directly requesting a refill. We will require 2 business days to process your request.
B.Via mail order: please realize that these requests require additional time to process and may take an additional 2-3 weeks to be delivered to you.
Note: It is important to have routine follow-up to assess the efficacy and side effects of prescription medications. If you are past due for a planned office visit, we will only authorize a small quantity until we can ensure safety by appropriate follow-up.
AFTER-HOURS PHYSICIAN ON-CALL
We provide 24 hour physician coverage in association with our colleagues at Medical Associates of Reston. After office hours, weekends, and holidays, simply call us at 703 707-0607 to receive instructions on how to page the physician on call. The physician on call will respond within ½ hour. It is very important that you be able to readily provide the physician with the names and doses of your medications, your drug allergies, and the telephone number of your pharmacy and a 24 hour pharmacy near you. We ask that no routine refills be requested of the on-call physician. No narcotics or controlled or scheduled medications will be refilled or prescribed after hours.
FEES