Office visits are by appointment only. Please arrive on time for your appointments and be prepared to provide our staff with your medical insurance card(s) and co-pay. If you are unable to keep your appointment, please notify us at least 24 hours in advance. If we do not receive the required notice, our $25 no show fee will apply. If you must be late for any reason, please call. If you arrive late for your appointment, we cannot guarantee that you will be seen. We do our best to stay on time and know the value of your time. Given the nature of our specialty, medical emergencies and unavoidable delays do occur. As these situations arise, we thank you in advance for your patience and understanding.