

YOUR FIRST APPOINTMENT Appointments |
| Scheduling and Cancellations: We purposely limit the number of our appointments so we can run on-time as much as possible. I want to always be available to my patients and accommodate same day appointments. If you need to cancel or change an appointment, as a courtesy to our office and our other patients, we ask that you notify us at least 48 hours in advance. We will be happy to reschedule you at a mutually convenient date and time. Accessibility: I run my practice at a lower volume than many physicians' offices. Most of the time, I will be able to see you the same day you call and at a time that is convenient to you. I will be flexible with my hours and will schedule weekend and evening appointments as needed. In general, if you call my office, I will be available to speak to you over the phone and I also use secure email as well. I will also offer house calls if medically appropriate. Insurance and Billing: We request that payment be made at the time of service. In order to provide a very personalized and high level of service, we do not contract with any insurance including Medicare or Medi-Cal. If you have Medicare, please be advised that I have "opted-out" of Medicare. Please note that Medicare, Medi-Cal, and HMOs do not allow you to seek reimbursement for my services. For more information , please see FAQs. Coverage - During Office Hours and After Hours: I will be available for questions and concerns during office hours and after hours. Please call our office phone number and leave a message. I check my messages frequently during office hours. If you feel that you need to reach me immediately after office hours, please call me on my cell phone, which will be provided to you upon your first office visit with me. Of course, if you are experiencing a medical emergency, please call "911" or go directly to the emergency room. In general, for very brief consultations, or for follow-up after a recent appointment, there is no charge. However, if you are calling about a new problem or if I feel that the phone call or email replaces a face-to-face visit, there will be a charge. Secure Email Policy: While I believe that email is generally a good way to communicate with my patients, unfortunately because of patient privacy concerns, I am only able to use secure email. As my patient, you can email me using RelayHealth, a free secure email service. You can sign up for RelayHealth via their website - www.relayhealth.com. When you sign up for RelayHealth, you have the right to provide as much or as little information to RelayHealth as you wish. If you choose to provide more information to RelayHealth than your basic demographic information, please notify our office every time you input new or updated information so that I can review it; neither my office nor I am automatically notified when you input new or updated information. Please also make sure that when you sign up for Relay Health you choose me as your doctor. This will permit me to email you via RelayHealth. Please do not use email for urgent or emergency situations or very sensitive issues. If you have an emergency, the best thing to do is call "911". If you need to talk to me immediately because of an urgent issue, please contact me at the office (during office hours) or on my cell phone (after hours). You should also call me if you do not get a prompt reply to any email. It may be that I never received your email due to technical problems. If an email replaces a face-to-face visit, there will be an office charge. Reminder: You should only use secure email to request information, to ask non-urgent questions, to request non-urgent appointments, or to request non-urgent refills on prescriptions. Do not use secure email to send or request very sensitive information. Do not use email in urgent or emergency situations. If you would prefer not to use secure email, please tell us and we would be happy to limit our communications with you to in-person communications, regular mail or telephone calls. Questions: If you have any questions regarding this information, please do not hesitate to contact our office. |

| 44331 Monterey Ave, Suites C & D Palm Desert, CA 92260 760-568-4483 |
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| ADDITIONAL FORMS We will be asking you to sign additional forms at our office PLEASE NOTE In addition, if you are on Medicare, we will also be asking you to sign a Medicare Private Contract |
YOUR FIRST APPOINTMENT Please bring with you: CURRENT MEDICATIONS (Prescription, Over the Counter, & Herbal) RECENT MEDICAL RECORDS LIST OF CONCERNS Please do not hesitate to contact our office if you have any questions We can be reached at (760) 568-4483 |