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Practice Policies and Service Fees

 
Services Offered

 
  • Bone density scanning
  • Ankle brachial index
  • Pulmonary function testing
  • Echocardiograms
  • Routine vaccinations
     

    Practice Policies

     
    As of Nov. 1, 2007, we will be charging an administrative fee of $50 for any Physical appointment cancelled within 24 hours of the appointment.
     
    In addition, patients will be billed a $50 administrative fee if they fail to show up for a scheduled Physical appointment and a $25 administrative fee if they miss a regularly scheduled appointment.

     
  • Pro-Time Blood draws by IMAW
        Monday & Wednesday's Only, Hours: 8:45AM-11:00AM & 1:30PM-4:30PM
  • Copying of Medical Records are subjected to a fee
  • We do not provide travel recommendations. For travel recommendations,
        patients should contact their local health department. The Westport/Weston
        Health Department can be contacted at (203) 227-9571
     

    Prescription Refills

     
    Effective immediately, written prescription requests or refills by mail will require a self-addressed, stamped envelope. Alternately, you may pick up prescriptions at our reception window. An office visit may be required before your prescription is approved.
     
    The office does not call patients back when the prescription is called in. Please check with your pharmacy. The easiest way to refill your prescriptions is to have your pharmacy call us.
     

    Service Fees

     
    Completing forms for camps, schools, employers, license renewals, extended care facilities, VA hospitals, and others not mentioned.
    (If office visit is necessary to complete specific information on these forms, there will not be a charge for completing the form.)
    $20.00
    Writing and dictating letters or reports for an airline reimbursement in the event of illness, for employers to explain missed sick days or return to work after illness, excuse from jury duty, medical summaries for travel, or other agencies if necessary.
    Note: A highly complex item may require an additional fee.
    $25.00
    Notarizing documents $5.00
    Completing and updating Veterans Administration prescriptions
    and forms
    $20.00
    Filling out handicapped parking forms $10.00
    Re-issuing office bills that were lost $5.00
    Filling out forms for mail order pharmacies $10.00


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