This is a practice prepared to deal with complex and difficult neurologic conditions, with an emphasis on chronic pain.  As a result, extra resources are expended in delivering care to our patients and this is accomplished by means of a concierge practice system.  This system of patient care is explained in the "About" and "Concierge" sections, which are located under the "Practice" tab.  Accordingly, almost every patient in the practice, because of the nature of the care required, will need to be seen on a concierge basis.  We understand that not all patients will elect this mode of care and may wish to continue to receive treatment from their current providers or seek treatment from any of a number of capable providers in our area.  However, if care at this practice is desired, the following are required:

  • A referral from primary care and/or previous treating physicians

  • Submission of pertinent outside medical records including office notes and reports of any scans

  • A copy of the medical insurance card(s)

Once this information is received, the package will be submitted to one of our physicians for review. If it appears that a prospective patient would be suitable for this practice, an introductory session will be scheduled. This is will be an on-site meeting for an orientation to the practice and will be conducted by a member of the treatment team. The purpose of this session is to acquaint the prospective patient with the policies and procedures of this practice and to discuss the various options available for the treatment of pain. This practice employs pharmacologic treatment but also offers rehabilitative strategies, such as medical massage and yoga, and neuromodulation approaches. These will be discussed during the introduction session. Also reviewed with be regulatory issues that surround the treatment of pain and administrative requirements to become a patient here. There will be a $100 charge for this visit, that will not be billed to insurance, because at this point, the visitor has not yet become an enrolled patient here. The final steps are as follows:

  • Completion of a new patient package. This includes demographic information and a medical history survey along with clinical assessment instruments. These can be picked up at the office or mailed to a prospective patient.

  • A signed Treatment Agreement form indicating understanding of practice policies and procedures and the willingness to engage into care under the terms described. A concierge agreement form must also be signed, indicting that a patient understands the conditions of this type of practice and feels that they can manage the required payments.

  • Willingness to be treated within the described concierge framework. This means that prospective patients understand the nature of a concierge practice and recognize that it is an expense above usual charges to the insurance carrier. If there are not sufficient financial resources to support continuing care in the practice, a patient should opt for treatment in a traditional practice structure. A list of other pain practices can be provided.

  • Acceptance of insurance limitations. Not all insurances are accepted. In some cases, while a particular insurance is accepted (and will be billed), we are not in that carrier’s provider network. In this situation, a patient incurs “out of network” charges, which are higher than they would be otherwise.  Please ensure that this practice is covered by your insurance and understand what your obligations will be!  If payment for services is denied by the insurance company, then payment becomes the responsibility of the patient.

Once the above documentation is received, an appointment for an initial visit with one of the physicians will be made. If the needed paperwork has been previously completed, or is completed in conjunction with the the orientation session, the first patient appointment can be made at the time of the visit.