Whenever possible, appointments are scheduled in advance. If an emergency or urgent situation arises, every effort will be made to evaluate the problem in the office. If it is necessary to cancel an appointment, please notify the office as early as possible. When you fail to appear for your appointment or cancel the day of your appointment, you have left an open space that could have been filled by another patient. This is counterproductive for our office and for other patients who may have needed that time period.
Missed or Cancelled Appointment Policy
Missed appointments or appointments not cancelled in an appropriate amount of time are a lost opportunity for us to help another patient. We ask that you make every effort to keep your scheduled appointment and to arrive on time.
We do understand there may be circumstances when you may be unable to keep your appointment. We ask that you give us 24 hours notice of cancellation or reschedule. It is our policy to charge for all missed appointments or appointments that are not cancelled and/or rescheduled 24 hours prior to the appointment time.
A charge of $35.00 will be made for all patients who do not show for their appointment or do not call 24 hours prior to their appointment time to cancel and/or reschedule.
The First Visit
The initial visit begins with a comprehensive review of your medical history. It is helpful to accurately complete the detailed questionnaire that is usually mailed prior to the appointment, or you may find the forms on our web site. A medical assistant first reviews the questionnaire with the patient and then the physician will review the history and perform a general physical examination. Additional testing may be necessary after the physician reviews your history and physical examination. Endoscopic examination of the esophagus and stomach (upper endoscopy) or large intestine (sigmoidoscopy or colonoscopy) may be scheduled. Procedures are done at The Endoscopy Center of South Jersey (have it linked to ECSJ website) which is located at the same address as our office. Information regarding the procedures and prepartion instructions is explained by our medical assistant when you schedule the test and then again by our nurses a week before the test. At the completion of the visit, the physician will discuss the possible problems or diagnosis and recommend additional studies and/or outline a treatment program. Education material and information are provided to reinforce the discussion and help.
In order to make an accurate diagnosis, it is often necessary to perform additional tests. When necessary, other studies are done at the hospital or at a private radiology office. Managed health care plans such as HMOs require lab studies and all x-ray and ultrasound exams to done or scheduled through the primary care physicians’s office. For those tests not requiring this, our medical assistants call the insurance companies to obtain the required pre-certifications and will also schedule the test for you.