Office Policies


I believe in a doctor-patient relationship based on mutual trust, respect, and concern.  In order to achieve this and provide fairness to all patients in the clinic, these are the office policies by which we will abide:


  • Not showing to an appointment or cancelling within 12 business hours of the appointment will be charged a $50 no-show fee.


  • Try to be on time to appointments so that we are able to cover what is needed and to be fair to other scheduled patients.


  • For non-urgent matters, please call or email during regular business hours.


  • I do not manage long-term controlled substances.  These include opioids (like Percocet), testosterone, benzodiazepines (like Xanax), and stimulants (like Adderall).  One exception is for medication assisted treatment of opioid use disorder with buprenorphine (Suboxone).  For your safety, even if you are receiving these prescriptions from another physician, I may recommend tapering off before we establish or continue a physician-patient relationship.


  • Threats, manipulation, and aggressive behavior will result in immediate discharge from the practice and possible involvement of law enforcement.


  • Because I practice on my own, I require that you bring a family member or friend with whom you feel comfortable if you need examination of a sensitive area (such as breasts or anogenital region).  If this is not possible, please let me know ahead of time so I can arrange for another chaperone.  You are always welcome to have someone else with you for any visit, even if we are not doing such an examination.


For a complete list of policies, including payment policies, please see:

Direct Primary Care Membership Terms and Agreement


My Commitment: I pledge that I will always try be on time and greet you with a smile and concern for your wellbeing.  I will do my best to offer treatments and plans that combine the best available evidence, my experience, and your preferences and goals.  I will work to decrease your healthcare costs by prescribing less expensive medications when possible, only ordering necessary tests, and only referring you to specialists when it is truly needed.