Many procedures require the use of a surgical assistant. This is medically necessary to ensure that you receive the best possible results.

If you feel the medication works for you, call our office and leave a message with the operator that you would like to have a prescription. She will need the name of the medication, the strength of the dose and your pharmacy phone number.

If you need a refill on an existing prescription, contact your pharmacy. If there is no refill remaining on your prescription, they will call our office for approval.

Patient Portal:
**Communication & Requests**

• Prescription Requests
• Appointment Requests
• Medical Records Requests
• Bill Pay
• Ask a question – Use for communication with your physician or medical records requests.
• Office Visit Summary – You will receive a summary of care along with data collected during your visit delivered to your portal inbox post visit.

**Full medical records &/or office visit notes must be requested. These are not automatically uploaded to your portal but can be upon request. Some test results such as MRI reports are automatically uploaded when available.

**When sending a question to your provider, please allow 48-72 hours for it to be addressed. You will either receive a reply via your portal inbox or a call from our office.

**The portal is not used for urgent matters. If we have something urgent to communicate such as results, surgery scheduling, etc. you will always receive a phone call.

Qure4U:
**Registration & Check-In**

• Pre-register – You will receive an email & text invite to register prior to your appointment.
• Appointment Reminders – Reminders via email, text, and call ahead of your appointment date.
• Pre-pay Copay or Balance
• Update Information
• Upload Insurance Card/s
• Check-in – Patient can save time by checking in for their appointment using their own mobile device

**Use one of our tablets or use your own device from home or in office to complete the check-in process

You won’t need to get preventive antibiotics for most dental procedures. But because you have an artificial joint, your risk of contracting a blood-borne infection is higher than normal. So preventive treatment is advised if the dental procedure involves high levels of bacteria.

• You have an inflammatory type of arthritis such as rheumatoid arthritis or systemic lupus erythematosis
• Your immune system has been weakened by disease, drugs, or radiation
• You have insulin-dependent (Type I) diabetes
• You had a joint replacement less than two years ago
• You’ve had previous infections in your artificial joint
• You are undernourished or malnourished
• You have hemophilia.

You should get preventive antibiotics for the following dental procedures:

• Dental extractions
• Periodontal (gum disease) procedures
• Dental implant placement and reimplantation of teeth that were knocked out
• Endodontic (root canal) instrumentation or surgery
• Initial placement of orthodontic bands (not brackets)
• Injection of a local anesthetic into the gums near the jaw
• Regular cleaning of teeth or implants where bleeding is anticipated

We will complete your disability or other insurance forms for a fee of $30. Please understand that we offer this service to all of our patients and that they are completed in the order in which they are received. In order to accommodate everyone’s needs, we ask that you turn in the forms as soon as possible so that we have sufficient time for completion. Due to the number of forms, we received, we require 5 to 7 business days for completion. Office hours for our Business Office are Monday through Friday 8am – 4:30pm.

This would be for a procedure called arthrocentesis. The physician inserts a needle through the skin and into a joint, bursa, tendon sheath or fascia. He may aspirate (take a fluid sample) and /or inject medication for lavage or drug therapy. The needle is then removed and pressure is applied to stop any bleeding.

Because the needle placed into the joint, bursa, tendon sheath or fascia requires exact placement, it is considered by insurance companies to be a surgical procedure. It is much more than a standard injection. Although they consider this a surgical procedure, insurance companies do not require additional pre-authorization for the procedure itself. Some medications, however, may require pre-authorization and our staff will take care of obtaining that prior to the arthrocentesis, as needed.

No Show Fees are as follows:

Office Visit $50 – Pain Procedure $100 – Surgery $300 –  MRI $50 – Physical Therapy $50

Our staff will make an effort to contact you prior to your appointment for pre-register. In this event, you will not need to come to the office earlier than your scheduled appointment time. You will be asked to review your registration forms and sign them, and then your check-in process will be complete.

However, if our staff is unable to reach you for pre-registration, you will need to arrive 15 minutes before your scheduled appointment time to fill out the required paperwork.

Our physicians and staff work hard to treat each patient as close to their scheduled appointment time as possible. However, our physicians often have emergency situations that need immediate attention. They do everything possible to handle these emergencies in a timely fashion and return to their scheduled patients.

You will need to bring your insurance card or complete billing information, including claim number and address of responsible party. If you have received treatment for this condition from another office, please bring all records, test reports and images (x-rays, MRI, CT scan).

Will you need to wear clothing that will allow access to the body part you are being seen for (example: shorts for a knee injury, sleeveless shirt for a shoulder injury). If this is not possible due to your work dress code, we have shorts and gowns you can change into for your exam.

If your insurance company requires an office co-payment, you will be required to make that payment at the time of your visit.

Please refer to our Registration Information booklet for a list of insurance companies we participate with.