Many patients have either chosen (or had chosen for them) cheaper health insurance plans called    PPO's or HMO's. In an effort to save costs, many of these plans require multiple time consuming steps before your orthopedic care can be delivered.   Your plan may not pay for your  services unless we ask one or more people for permission to deliver our formulated care plans. This creates problems.

We know HMO's, PPO's and other managed care plans are selected with cost in mind. With these cost savings comes a greater responsibility for you the patient. YOU MUST: HAND CARRY your referral to our office. Mail and fax simply are not dependable.

The Referral must include:

• The number of visits authorized.
• Approval for any X-Ray views we need to complete the evaluation in the office.
• Approval for any office provided durable medical equipment (splints, casts, etc.)
• Approval for initiating any physical therapy deemed medically necessary for your recovery.

and carry any X-Rays, Radiology reports, EMG's and other medical studies with you to the office at the time of your appointment. Hospital transfers, mail, and other methods are simply not reliable.

If obtaining your referral information causes delays which are impeding our care to other patients, you may be asked to reschedule your appointment. Understand this is a result of your insurance plan.  We apologize in advance for any personal inconvenience the requirements of your insurance plan may cause you.

We appreciate your assistance and cooperation in bringing the required information to your appointment.