Once an appointment has been reserved there are several steps that need to be completed to ensure that the doctor has all of the information needed to provide the best care possible. Due to the length of each new patient appointment we do ask for a deposit to schedule, if the appointment is canceled with at least 48 hour notice we refund the deposit. The deposit amount will vary depending on program scheduled. For example, for the most extensive program the deposit is $250.
Our initial paperwork will come via email as a link to complete through Echosign for your security. One part will be requesting your medical history, the length of this one will depend on the program selected. The other will contain forms that must be signed such as an acknowledgement that we are not contracted with insurance companies, Dr. McManus is opted out of Medicare, program specific financial agreement listing the specifics of the program selected, and program specific consent forms. We strive to be as detailed as possible and we are available to answer any questions that may arise during this process. Once we receive all requested forms back the new patient coordinator will take that information and input all the data into the patient record to allow time for the doctor to review the chart prior to the patient getting to the office for their appointment.
All patients are treated individually and for this reason we do not handle any checkouts until after the doctor has seen the patient. During the 90 minute appointment with the doctor she will develop a treatment plan specific to each patient’s needs and will make recommendations for supplementation and prescribe medications as needed. Nutrition is an integral component of each patient’s treatment. Specific guidelines are provided for each program during the initial appointment or scheduled for a later time directly with the nutritionist. For example, patients are given detailed instructions to follow on the weight loss program that is medically supervised, this is the only calorie restrictive diet through TWIHW.
The final step for a new patient appointment is the checkout, the billing admin will review the supplements recommended and confirm the ones that each patient would like to purchase, if any. We then schedule any other appointments needed and collect payment. Follow up appointments are needed as indicated by your medical provider to stay an active patient and will be scheduled with Dr McManus, Dyvette, or Sandra depending on time frame indicated by the medical provider. The providers work as a team to allow for more flexibility for the patient’s schedule.