Fees for Non Covered Services

FEES will be incurred for the following NON FACE-TO-FACE SERVICES

Email questions post annual or follow up appointment

• Will only be evaluated within 30 days of an appointment.  After 30 days, please schedule an appt. to review any additional questions or health conditions.  All follow up questions must be part of a medical note and require an appointment.  

Phone Consultations initiated by patients will incur a fee ranging from $45 - $135 depending on time and complexity.  

•          Calls to discuss test results that require more than just a few minutes of explanation or that involve a referral or require more tests.
•          Calls to review treatments plans and ask additional follow-up questions
•          Calls leading to a diagnosis of a new problem
•          Calls regarding advice about an existing problem or recurrent problem

Forms Completion requests require an office visit:

•          School forms
•          Camp forms
•          Sports participation forms
•          Employment Physical forms
•          Disability paperwork
•          FMLA forms
•          Life Insurance forms
•          Referrals

Prescription refills requested outside an office visit will incur a fee ranging from $45 - $135 depending on time and complexity.  

•          New prescriptions or prescription changes all require an office visit and must be made part of the patient record.
•          Refills of existing prescriptions (does not include bio-identical hormones or NP Thyroid prescription refills).
•          Replacing a lost prescription.

o   No prescriptions will be refilled on Saturday, Sunday or Holidays.

o   No prescriptions will be approved if it has been 4 months since your last office visit.

o   All controlled substance prescriptions require an office visit every 6 months.

o   Existing prescriptions when there are insurance changes or pharmacy changes (Example: patient is on vacation and needs a prescription called in)

Lab Scripts will incur a $25 fee

•          Replacing a lost lab script if we did not keep a copy in your chart

Test Results review resulting in a new treatment will incur a fee ranging from $99 - $135.

•          To ensure the confidentiality of your protected health information and to give you the time and attention you need from Dr. Adrian, you will be asked to schedule a follow-up appointment to discuss

                      your test results (including lab work).

Prior authorizations outside an office visit will incur a fee of $99 - $135 depending on time required to complete

•          Medications that require prior authorizations.  Depending on your insurance this process may involve several steps.  You may be required to make an appointment to complete this process.

Email consultations:

•          No Email consultations.  All questions must be reviewed as part of an office visit and made part of the patient record. 

Missed appointments with no 24-hour notice

•          $25 for missed follow-up appointments
•          $50 for missed new patient appointments