Our office schedules visits by appointment only. Walk-ins are not permitted. We will make every effort possible to see emergent and urgent conditions in a timely manner. Every effort is made to see our scheduled patients on time.
The following four forms are for all patients coming into our office for an appointment. These forms can be downloaded to your computer and printed at home. By filling out these forms ahead of time, you will save a significant amount of time during your visit. Please be prepared to provide this information to our office along with your current medical insurance information. If you have any questions when filling out these forms, please do the best you can and our staff will assist you with your questions on the day of your visit.
The following form is for patients of Dr. Tompkins, Dr. Howe, Dr. Yinger, Dr. Grafe and Dr. Chang.
The following packet is for patients with back and lower extremities pains/problems of Dr. Iezza.
The following packet is for patients with neck and upper extremity pain/problems of Dr. Iezza.
If you are unable to keep your scheduled appointment, please call us at least 24 hours in advance. Also, please call if you know you are going to be late. This courtesy allows us to accommodate other patients.
On your first visit to our office, please plan to:
If your insurance requires you to have a referral, it is your responsibility to obtain the referral and necessary paperwork prior to your appointment.
Co-payments are collected at check-in at the time service is rendered. For your convenience, we accept cash, checks, and credit cards (Visa, MasterCard, Amex and Discover). If you come unprepared and unable to pay your insurance co-payment, your appointment will be rescheduled.
In certain emergent situations, payment plans may be established for patients with significant financial distress. If you are on a signed payment plan and a problem arises that affects your ability to continue making timely payments, you must contact our Business Office immediately. Communication is critical. In the event that your account is placed with a collection agency, no further appointments will be made until prior debt is resolved.
A fee of $35.00 will be charged to your account for returned checks. From that point on, we will only accept cash, money orders, or credit cards for any payments currently due on your account for future medical services rendered.
If your minor child is a patient, please do not send them alone. Minors coming in without a responsible adult will have their appointment rescheduled to a time when the responsible adult can accompany them. It is unlawful for us to treat a minor (under 18 years of age) without the consent of a parent or legal guardian.
If you are taking medications prescribed by our physicians and you need a refill, please call your pharmacy first. Your pharmacy will fax over the refill request, per established guidelines. We ask that you allow 48 hours for processing your request. Make sure you call in your refill while you still have a few days of medication remaining to get you through the 48 hour period. Refill of narcotic medications are not emergencies. Narcotic and/or pain medication will not be filled by the on-call physician during the week or weekend unless you are within 14 days of surgery.
Our office uses arbitration agreements. All patients are required to sign the agreement before being seen.
Redwood Orthopaedic Surgery Associates reserves the right to discontinue treatments or discharge a patient at any time. If this occurs, we will provide you with a list of other local orthopaedic surgeons who may be able to address your needs. We will provide emergent orthopaedic care to these patients for 30 days after a patient has been terminated. An explanation as to why the termination has occurred does not have to be provided to the patient.
If you have any questions regarding our policies, please do not hesitate to contact us.