13220 Rosedale Hill Avenue, Huntersville, North Carolina 28078, United States
Annual Wellness and New Patient Forms Policy
Our office makes every effort to see our patients in a timely manner for their scheduled appointment time.
Therefore, we ask all new patients, as well as established patients scheduled for an annual wellness exam, to please come prepared for their visit, with all required forms submitted to our office at least 48 hours in advance.
A text message will be sent to you, reminding you to complete any such required forms. For easy access, all office forms for both new patients and annual wellness exams are located on our website, on the Patient Resources page.
Any incomplete forms will result in the necessary rescheduling of your appointment.
If you have not submitted your forms and prefer to complete them in the office, please arrive at least 30-40 minutes early, to allow adequate time for you to complete any required items.
Any incomplete forms will result in the necessary rescheduling of your appointment.
Cell Phone Policy
We put our patients first and strive to provide compassionate, patient-centered care. Any cell phone usage during your visit directly impacts our ability to provide you with effective and high-quality care.
Therefore, we kindly ask that upon entering our clinic, you end all phone calls and silence your mobile device for the duration of your appointment.
Controlled Substance Policy
The Drug Enforcement Administration (DEA) recently revised the regulations as pertaining to controlled substances and requirements of your healthcare provider in prescribing these medications.
Controlled substances include opioids (such as codeine, oxycodone, hydrocodone), stimulants (such as Adderall, Ritalin, Adipex), depressants (such as Xanax, Ativan, Klonopin), hallucinogens and anabolic steroids (such as Testosterone).
To ensure compliance with these regulations, our office will require that all patients who are on a prescribed controlled substance for their healthcare needs complete an in-person follow up visit every 90-calendar days or less.
Patients will be required to sign a Controlled Substance Agreement when beginning a treatment involving a controlled substance medication and to sign an updated copy on an annual basis, to be uploaded into their patient chart.
Please note that our office will not be able to submit a refill for a controlled substance medication, or to submit a script for a new controlled substance medication, if you have not completed your required 90 day in-person follow up visit.
Disability, FMLA and Forms Policy
As of June 1, 2024, our office will adhere to the following guidelines in regards to disability, FMLA and other forms completion requests:
Anxiety, Depression, Emotional Support and Service Animal, or other mental health related disability or FMLA forms are required to be remitted to your Psychologist or Psychiatrist for completion.
A separate appointment is required for any disability, FMLA, or other forms request; please note, this appointment will only cover your forms request. To allow proper time to review your forms, no other items or concerns are to be addressed during this appointment.
There is a $50.00 charge for all forms completion, payable to our office at point of service. This out-of-pocket fee will be incurred by the patient each time forms are presented for completion and are not covered by insurance. In addition, any outstanding balances on your account must be remitted in full, prior to your completed forms being returned to you.
Patients must complete any portion indicated for patient use, prior to the appointment, or your provider completing their portion of the forms. Patients are not to attempt to complete any portions of the form which are indicated for provider use; any forms presented as such will be denied.
Our office reserves the right to deny the completion of any forms which we deem as not being medically necessary. Should your provider agree to the medical necessity of your request, our office requires 7-days to complete any such forms. You will be contacted to pick up your completed forms, once available.
Emotional Support and Service Animals
Emotional support and service animals are always welcome in our office and may accompany you for the duration of your visit.
Requests pertaining to emotional support or service animals, as well as any associated forms, are required to be remitted to a licensed mental health professional, such as a Therapist, Psychologist, or Psychiatrist, for completion.
Some mental health conditions which may qualify for requesting an emotional support animal (ESA) or service animal include Anxiety, Depression, Post-Traumatic Stress Disorder (PTSD), Bipolar Disorder, Panic Disorders and Phobias.
Please visit the below links, for additional information on emotional support and service animals:
https://pettable.com/blog/north-carolina-esa-laws
No Show and Late Cancellation Policy
Our goal is to provide high-level care to each patient in a timely manner. If it is necessary to cancel an appointment, patients are required to call or leave a message at least 24 hours prior to their appointment time. Notification allows the practice to better utilize appointments for other patients in need of prompt medical care.
Patients who do not give notice of cancellation 24 hours or more prior to their scheduled appointment will be charged a No Show/Late Cancellation fee to their account.
Additionally, patients who have not called, texted, emailed, or responded to their automated appointment reminder 24 hours or more prior to their appointment to confirm will be removed from the schedule and charged the No Show/Late Cancellation fee to their account.
Referrals to Specialist Offices
A referral is a written order from your primary care provider for you to see a specialist for a specific medical service and is required by most insurance companies to ensure patients see the correct provider for their medical diagnoses. Failure to obtain a referral prior to seeing a specialist can result in your insurance company denying payment for services rendered and requests for payment then being passed directly to you, the patient.
Our office will make every effort to complete your referral within a day of your appointment, however this may not always be possible. We therefore ask that you please allow at least 72 hours for completion of all referrals.
If you have not received a notification of your referral being completed after this allowed timeframe, please contact our office to request an update at (704) 766-0320, option 5.
Routine Medical and Medication Requests
Our office will make every effort to respond to all patient voicemails, medication requests and queries within a day of receiving your message, however this may not always be possible. We therefore ask that you please allow at least 24-48 hours for completion of all requests by the Medical Assistant team.
If you have not received a reply within this allowed timeframe, please contact our office to request an update at (704) 766-0320, at option 1 or option 2, to speak with the Medical Assistant team.
Sick Visit and Swabbing Protocol
In an effort to protect our staff and patients, we require that anyone experiencing Covid, Flu, Cold or any other Upper Respiratory illness symptoms wear a mask upon entering the clinic and throughout the duration of their appointment.
Our office further requires that patients presenting with Covid, Flu, Cold or any other Upper Respiratory illness symptoms including fever or chills, cough, sore throat, congestion or runny nose, loss of smell, fatigue, muscle or body aches, headaches, nausea, vomiting, or diarrhea be tested via swabbing, prior to their appointment.
We understand this requirement may not be a suitable or comfortable option for every patient. In these instances, our office will refer you to either the Urgent Care or Emergency Department for treatment and will be happy to schedule your next appointment once you are feeling better.