Scheduling an Appointment

Scheduling an appointment:

  • Specify the reason for your visit.
  • Limit your visit to one or two problems.
  • We can not do both a procedure and a sick call in the same visit per insurance regulations.
  • Your appointment time is for YOU. Please schedule separate appointments for family members.
  • Our physicians try to stay on schedule, however some patients require more time than is expected. Please allow 90 minutes for your scheduled appointment.

Prior to office visit:

  • Check your medications for refills.
  • Write a list of your concerns or questions.

Arriving at your appointment:

  • Please arrive 15 minutes early.
  • Let us know of any address or insurance changes.
  • If you arrive late we will try to work you into our schedule.

Walk-in appointments:

  • Are reserved for sick patients.
  • Patients will be worked into the schedule of the first available provider.


Must be made 24 hours in advance to avoid a charge.Getting a Referral or Pre-Approval

  • Many insurance companies (HMOs) require referral paperwork to be processed before you can see a specialist. An office visit and primary care physician approval is needed to generate the referral.
  • Questions about referrals and pre-approvals can be directed to extension 3.
  • Referrals take up to 7 days to process. Please make your specialist appointment accordingly.
  • Referrals will not be given AFTER specialist care is rendered.
  • Call the specialist 24 hours prior to your appointment to make sure your referral has been approved.
  • Most insurance companies require pre-approvals before certain tests (CT scans and MRIs). Please allow 5 working days for this to be approved by your insurance company.
  • Remember: You will be responsible for bills not covered by your insurance if these procedures are not followed.

Refilling Prescriptions

New Prescriptions:

  • Always require an office visit
  • No antibiotics will be given over the phone without being seen


  • Require an office visit every 1-2 months.
  • Will not be refilled if lost or misplaced.

Prescription Refills:

  • May be requested 24 hours/day at extension 2.
  • Will take up to 3 BUSINESS days to process.
  • Don’t run out of medication. Call when you have a 7-10 day supply left.
  • May require an office visit for refills.


During Office Hours:

  • Notify our office with your emergency: we may be able to prevent an ER visit, or expedite your care when you’re there.
  • Call our office to avoid unnecessary costs. Your HMO may require you to go to a specific ER if possible.

After Hours

  • Listen to the voice prompts on office recording.
  • Voice Mail messages are sent directly to the doctor on call.
  • Call-backs may take up to one hour. Most are made within 5-15 minutes.

Hospital Affiliations

  • Botsford General Hospital
  • Providence Hospital (St. John’s Health)
  • DMC – Huron Valley Hospital
  • St. Mary’s Medical Center
  • St. Joseph’s Ann Arbor
  • Beaumont Health Center

*Individual physicians may vary.Miscellaneous Fees

    • Returned check: $35.00 fee for insufficient funds.
    • Medical Records Release: $20 copying and handling fee plus .10 ¢ a page for copying after 50 pages.
    • $15 form fee for forms not presented at the time of an office visit. i.e.: School, sports, work, disability, handicap, adoption, etc.
    • Letters: $15 for Disability, Auto insurance, etc.