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There is fee for all paperwork requests that cannot be completed at the time of visit. The fee is $25 for up to 3 pages, $50 for up to 5 pages, $75 for more than 5 pages.There is $10 fee for all requests for work notes created outside of the time of visit.


All appointments require a 24 hr notice for cancellation. There will be a $40 fee for all no show appointments and a $75 fee for no show physicals. Your appointment will be considered a “no show” if you arrive more than 20 minutes after your scheduled appointment.


In compliance with the new Affordable Care Act, all prescriptions will be sent electronically starting September 1, 2013. We encouraged our patients to help us comply and utilize electronic prescribing which can be done at both local and mail service pharmacies. Starting September 1st, 2013 paper prescriptions will be made available according to the following fee schedule at the time of the request: (1-3) prescriptions $5, (4-6) prescriptions $8, (>6) prescriptions $12. By law scheduled medications cannot be sent electronically. These paper prescriptions will be provided at no charge.

 Kingstowne Internal Medicine Policies

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