Hours and Office Policies

Hours of operation

Monday:          9:00 AM – 11:00 AM and 1:00 PM – 4:00 PM
Tuesday:        12:00 PM – 5:30 PM
Wednesday:   Urgent appointments only
Thursday:       12:00 PM – 5:30 PM
Friday:              9:00 AM – 11:00 AM and 1:00 PM – 4:00 PM 

We will stay late, as needed, for sick children, or leave early if there are no scheduled appointments.

 **Important** Please give us as much notice as possible for same-day visits!  If you think you might need an appointment then try to call earlier in the day, so we can arrange for time in the schedule.

 Other times or newborn house calls available by special arrangement only.

Policies
 
The nature of a one-person office limits some and expands other aspects of access. Please understand that each of the following policies have been created to address the needs of patients as well as the practice and its sustainability. Please review each of the points below and feel free to contact us with any questions that come up.

Please email us any suggestions or feedback about how we can make our practice work better for you.

Timeliness
This office is different from others in that we are trying to keep our waiting time to a minimum. I make every effort to run on time and ask that you also arrive on time. If I am running behind due to the rare instance that a patient needs more time than allotted, I ask for your patience.

Cancellation Policy
Your appointment time is reserved especially for you. If one forgets or otherwise fails to show up for their appointment in the absence of an unavoidable emergency, there will be a $35.00 fee. The same applies to appointments canceled with less than 24 hours’ notice. Please call if you are running especially late to prevent unnecessary worry; your appointment time will not be extended due to a late arrival. If missing appointments becomes a trend, you may be at risk for termination (see below). 

Payment and Insurance
I am credentialed by many insurance companies (including Premera, Blue Cross, Blue Shield, Regence, Providence, First Choice, Cigna, Asuris and others). At this time, I am not able to accept any Medicare or Medicaid insurances.

Outstanding balances such as deductibles and co-pays or co-insurances are the responsibility of the insured patient or guarantor and are to be paid in accordance with the signed agreement. After a payment and/or EOB statement is received from your insurance company, a statement will be mailed at the beginning of the following month detailing your balance. The remaining balance is due upon receipt and may be paid by check or credit card. If a balance remains outstanding with no payment arrangement for more than 2 months, a $20.00 late fee will be charged each month thereafter and if no arrangements are made, the account will eventually be sent to collections. 

Out of pocket payments
Self-pay patients are offered a 30% discount for payment at the time of service. This discount is often useful for people with high deductible plans or Health Savings Accounts (HSA). However, in order to be able to offer this substantial discount, payment must be received at the time of service, unless prior arrangements have been made. Due to the constraints of various insurance contracts, I am not permitted to offer sliding scale fees. I do occasionally elect to serve community members pro-bono, however, and I am open to bartering some services..

Grounds For Termination of Patient-Physician Relationship
A physician may terminate a relationship with a patient at any time by giving 30 days notice during which the physician is responsible only for responding to urgent medical matters. Dr. Monica will reserve this action for patients who demonstrate a lack of respect for themselves and the practice by missing appointments repeatedly, disregarding the practice’s stated policies, or acting in a way that is deceptive, disrespectful, or dishonest, or in cases where a therapeutic relationship cannot be formed. This is a small practice, so it is important that those who are seen here are invested in the relationship with their physician and act in a manner that demonstrates the same.

Narcotics Policy
Chronic use of habit-forming drugs such as narcotics and benzodiazepines is seldom in the best interest of patients or prescribers. For this reason, Dr. Monica will NOT prescribe long term narcotics or benzodiazepines with only the rarest of exceptions. A prescribing agreement with strict parameters will be signed in the unlikely event that long term narcotics or other drugs with abuse potential are required. Having stipulated the above, a patient’s pain or anxiety will be addressed and treated appropriately.

Adult care
For adults, in particular women, we offer consultative and complementary services only. We strongly encourage you to have a primary care provider.