480 W Jubal Early Drive
Winchester, VA 22601
We realize how important your time is to you. Due to the nature of our practice there are times when unforeseen emergencies occur during scheduled appointment hours. Every attempt will be made by our office staff to contact you in these cases to either reschedule an appointment if your doctor has another type of emergency. Please inform us if your home telephone number, work number, or cell phone number has changed as well as your mailing address. We also ask that you kindly give us 24 hours of notice if you need to cancel or reschedule an appointment, so that we may make this time available for another patient.
NEW PATIENT IDENTIFICATION
The regulations require each business to establish a customer/identification process appropriate for the size and type of business. In our office we will obtain and record the following information of new patients. Please have the following information available when you come for your appointment:
Date of Birth
Social Security Number/TIN
Other Picture ID
TREATMENT OF MINORS
A parent or legal guardian must accompany a minor to their first appointment and provide ID. Parents should make arrangements for payment at this and any subsequent visit (due at the time of visit). All contraceptive and venereal disease visits are protected per Virginia code.
Located on the Welcome Tab.
Please make an appointment for urgent problems as general medical questions may not be returned for 2-3 business days.
In the event of a medical emergency after hours or on weekends, please call Winchester Medical Center (540) 536-8000 and have the operator page the physician on call for our practice.
FEE FOR SERVICES
Payment is expected at the time services are rendered. The co-pay is due at the time of service and will be collected by the receptionist when you check in. Your insurance will be billed for the balance as a courtesy for you. If you do not have insurance, fees for that visit are due at the time of the visit unless other prior arrangements have been made. Any pathology fee that you might incur will be billed to you directly by the pathologist and laboratory fees will be billed through Sunrise or Quest unless you notify us of a different lab that your plan participates with. It is the responsibility of the patient to know what lab your insurance company participates with. The bill is still the responsibility of the patient regardless of insurance. We honor Visa, MasterCard, Discover, American Express, and Care Credit.
RELEASE OF MEDICAL RECORDS
Please fill out and return to Women First the Release of Records Authorization Form.
New Patients -Download and fill in the forms below. Bring these forms with you on your first appointment.
New Laser Technology by Cynosure!
We have added SculpSure, MonaLisa Touch,
Pelleve, and Pellefirm to our practice.
Heather Reese, MD