Practice Policy & Patient Guidelines

Welcome to Spine and Pain Regenerative Medicine. To ensure the best care and a smooth experience for all patients, we have outlined our practice policies below. Please review and sign to acknowledge your understanding and agreement.

1. Appointment Scheduling and Cancellations

   • Scheduling: Appointments can be scheduled by phone, email, or in person. Please provide accurate contact information to confirm appointments.
   • Late Arrivals: Patients arriving more than 10 minutes late may need to reschedule, as late arrivals disrupt the schedule for other patients and is the number one reason why physicians are late to your appointment.
   • Cancellations/No-Shows: We require at least 24 hours’ notice for appointment cancellations. Failure to cancel in advance or missed appointments will incur a $50 no-show fee.
   • Procedure Appointments: Cancellations for procedures must be made at least 48 hours in advance to avoid a cancellation fee of $100.

2. Medication Management

   • Prescriptions: Medications will only be prescribed during scheduled office visits.
   • Missed Appointments: Prescriptions will not be refilled if a patient misses their scheduled appointment. Patients must reschedule their visit to discuss their treatment and medication needs.
   • Refills: Request refills through the patient portal or pharmacy at least 5 businessdays before your prescription runs out.
   • Opioid Policy: All patients prescribed opioids must sign an Opioid Treatment Agreement and consent to urine drug screening. Violations of the agreement may result in discontinuation of care.

3. Financial Policy

   • Insurance: We participate with most major insurance plans. Patients areresponsible for verifying their insurance benefits before the visit.
   • Co-Payments/Deductibles: Co-pays and deductibles are due at the time ofservice.
   • Out-of-Pocket Expenses: Any services not covered by insurance, such asregenerative treatments, will require payment at the time of service.
   • Billing Questions: Contact our billing department during business hours forassistance with invoices or claims.

4. Office Conduct

   • Behavior: We maintain a professional and respectful environment. Aggressive, disrespectful, or disruptive behavior will not be tolerated and may result in discharge from the practice.
   • Children: For safety reasons, please do not bring children under 12 unlesssupervised by another adult.

5. Communication

   • Emergencies: For life-threatening emergencies, call 911 or go to the nearest emergency room. For urgent issues outside office hours, contact our on-call provider.
   • Non-Urgent Questions: Use the patient portal for non-urgent communication, test results, or appointment requests. Messages will be answered within 2 business days.

6. Procedure Preparation

   • Patients undergoing interventional procedures must follow all pre-procedure instructions, including fasting requirements and transportation arrangements if sedation is used.
     Failure to comply may result in rescheduling.

7. Confidentiality

   • We comply with HIPAA regulations to protect your privacy and medical information. Please review our Notice of Privacy Practices for details. SMS consent and phone numbers will never be shared with third parties or affiliates under any circumstances

8. Termination of Care

   We reserve the right to terminate the provider-patient relationship under the following conditions:

   • Non-compliance with treatment plans or medication agreements.
   • Repeated no-shows or cancellations.
   • Inappropriate behavior or failure to meet financial obligations.
   • This version now includes the explicit rule about missing appointments and its impact on prescription refills. Let me know if you’d like further refinements!