I recently received clarification on federal and state regulations, so I am unable to accept cash payment from patients covered under Medicaid or Medicare. This includes all forms of these programs, even if the patient prefers to pay privately. I am happy to provide records and referrals to assist with continuity of care.

Patients who need a higher level of availability or faster response times may wish to establish care with another provider whose practice model can accommodate that need.

 I am available only on scheduled clinic days. All administrative and clinical tasks — including messages, refill requests, and prior authorizations — are handled during those times only.

Insurance prior authorizations are time-intensive and can take 1–2 weeks depending on the insurer’s process. These can only be initiated during designated administrative time on clinic days, which is very limited. Please plan ahead, as I cannot expedite insurance processes outside my control.

You must be seen for refills. If you have not been seen in the last 30 days I am unable to provide refills. 

Any questions requiring medical judgment, medication advice, or treatment changes must be discussed in a scheduled appointment. These topics cannot be managed by email or messaging outside visits

Messages and voicemails will be reviewed during clinic hours only. Turnaround time may take 2–3 business days depending on workload and clinical schedule