Welcome to Symphony Integrative Health. Our practice policies (including financial information) are outlined below and have been created to maintain the highest level of care for our patients.

Integrative Medicine: The main goal of Symphony Healthcare, Inc. is to implement an integrative approach to medical care. Integrative medicine addresses the underlying causes of disease, engaging both the patient and the provider in a therapeutic partnership. You understand and agree that utilizing this format may require additional office visits as compared to traditional medical practices. While we do address primary care and chronic issues, our mission is to focus on hormones, thyroid disorders, autoimmune disorders, and gut microbiome issues. I am not credentialed with any local hospital. We encourage you to have a PCP in your network for routine cares. If I am your PCP & you are admitted to a hospital, we will utilize the Hospitalist group associated with that hospital for your inpatient care.

Medicare: We are in-network and accept Traditional “Red, White & Blue” Medicare Health Insurance.

Self-Pay: We are out of network with all commercial and Medicare Advantage plans. Initial Visit fee is $250. Follow up visit fee is $100 for routine visit, $150 for extended visit.

Appointments: We see patients by appointment only. Same day appointments are usually available for urgent or sudden needs for established patients. We have a limited number of same day or “sick/work in” visits. Please call as early as possible, as these spots do fill up quickly. If there are no available appointments, and you have to be worked in, please understand you will have an additional wait time.

Cancellations and No Show: We require a 48-hour cancellation notice if you are unable to keep your scheduled appointment. This allows us to provide that time slot to another person. If you No Show to your appointment or do not give the proper 48-hour notice, you will be charged a fee of $50 from your card on file. If you have more than two instances, you are subject to immediate dismissal from the practice. We utilize an automated appointment reminder service, however this is offered as a courtesy only and not a means to depend on to remind you of your appointments.

After Hours and Emergencies: For a serious emergency, call 911 right away. If you do need to contact our office after hours, please call our main number 352-629-5939 and follow the instructions to be transferred to the On-Call nurse. You will be asked to leave a voicemail message -- your message will be reviewed as soon as possible. Please note that we do not call in prescriptions after hours or process routine refills, schedule appointments, or other non-urgent needs. You may leave a voice mail if cancelling your appointment. You will be directed to call the office during normal business hours for non-urgent needs. 

Treatment of Minors: Patients under the age of 18 must be accompanied by a parent or guardian to every visit.

Nurse Calls and Messages: To speak with a nurse, you will be transferred by the receptionist. Often at the time you call the nurse is assisting another patient, so your call is answered by Voicemail. Please leave a detailed message – including your full name and date of birth. The nurse will return your message in your patient portal in 24-48 hours.

Prescriptions and Refills: We will not prescribe new medications without an office visit. Medication refills are to be done at the time of your office visit. An Office Visit may be required to refill your particular medication.
* Refills require approval from the provider. Requests are typically processed within 24-48 hours. Any requests made after 12 noon might not be able to be processed until the next business day since the provider is typically with patients throughout the day. (Our Office Hours are Monday-Thursday).
*To request a refill by phone or via portal – please be sure to leave a detailed message including your full name and date of birth, prescription name, strength, dosing information, pharmacy name and phone number. Some medications have potential side effects that must be monitored. We require office visits every 3-6 months for those medications. Be sure to keep those follow-up appointments to avoid any personal delays on your refills.
*Some prescription refills may need an in-office visit, especially if controlled. 

Narcotics / Controlled Medications: We limit the use of controlled medications to short-term use only. If you require use of any controlled medication long-term, we will happily refer you to a specialist that is appropriate for you. If at any time, you are prescribed a controlled medication, it is important for you to know:
*You must disclose all medications you are taking from all sources to avoid any interactions.
*Medications must be taken as directed. You must not share, sell, or otherwise permit others to have access to your medications.
*Controlled medications require an office visit for refills.
*Controlled medications are subject to be recorded by and monitored by The Florida Prescription Drug Monitoring Program, known as E-FORCSE.
*If at any time, Symphony Healthcare, Inc. believes there is any misuse of your medication, we reserve the right to refuse to refill any further medications, administer a drug test, and dismiss you from the practice, if necessary.
*A random urine drug screening may be required. Presence of abnormal results that would indicate a possible misuse, may result in the actions listed above.
*Refills will not be processed prior to the due date. If your prescription is lost, stolen, or otherwise not available to you for whatever reason, your refill will not be processed until it is due, even with a police report.
*Controlled medications have a higher potential for addiction. We will monitor you closely. You will be required to comply with our practice policies whether written or at the provider’s discretion. You will be required to keep your scheduled office visits.