Office Policies

After Hours

For medical emergencies, please call 911 or go to the nearest emergency department or urgent care facility.

For non-urgent issues please call during business hours.

Urgent issues may be able to be addressed in the office outside of regular hours

Prescription Refills

Refill requests must be made 48 hours in advance to allow time for proper management and communication with the pharmacy.  Refills after hours are discouraged.  Narcotics and controlled substance prescriptions will not be refilled without an office appointment – no exceptions.

Cancellation and “No Show” Policy

Please be courteous and notify us right away if you are unable to make a scheduled appointment.  This will allow time for others to fill that appointment time.

A “no show” is missing an appointment without notifying us, and it is an inconvenience to others and limits access to care.  Repeated “no shows” may lead to termination from the practice.


We accept most insurance plans in Eastern Iowa, however each employer’s plan can be different, with different deductibles, co-pays, and co-insurance.  Co-pays and co-insurance are expected at the time of service.  Cash, checks, and credit cards (Visa, MasterCard, and Discover) are accepted.

Unpaid balances will be billed by mail.  An unpaid balance for more than 2 months will incur a $20 late fee.  If no arrangements are made, the account will be turned over to collections.

Self-pay patients are offered a 40% discount if payment in full is made at the time of service.

There will be a fee of $25 for returned checks.