Office Policies and Procedures
This page describes the following office policies and procedures:
Monday through Friday
Before Your Visit
Before your appointment please contact your referring physician and request that a copy of your medical record (including pertinent lab information) be sent or faxed to my office. Alternatively you may hand carry this information to your first appointment. Also, please bring an accurate list of all the medications you are currently taking including the correct dosage.
If you need care after office hours or if an emergency arises during office hours, please go directly to the nearest emergency room or dial 911. Your problem will be evaluated by the emergency room physician on duty who will perform the procedures necessary to stabilize your condition and will then contact my office.
Occasionally, another urologist will be covering my practice, and he or she will be contacted to provide continuing care until I am available.
Unfortunately time constraints will not allow me, in most cases, to respond by phone to questions of a general nature. I encourage you to browse my site as it is likely you will find the answers to many of your questions here. If you do not find a satisfactory answer to your question you may communicate with my office nurse by phone.
Specific Non-emergency Questions Regarding Your Care
Routine questions regarding your care should be discussed with me at your next scheduled office appointment. If you feel that a more immediate answer is required, please call my office during normal working hours.
The results of literally hundreds of laboratory tests, x-rays, scans, and biopsies are received by my office weekly. Due to this large volume it is unfortunately not uncommon that the results of a test ordered by me may be inadvertently misplaced. Therefore all patients are requested to call my office to obtain the results of their tests unless specifically directed otherwise by me. Do not assume that "no news is good news." You are responsible for calling to obtain the results of any tests ordered by me.
The accuracy of your medical record is essential to provide quality medical care. Prior to your first appointment you will be asked to complete a medical history questionnaire. The questionnaire will be mailed to you along with other relevant information about my office.
Please remember that accuracy and completeness is of utmost importance. Any changes in your health status, medications or allergies should be brought to my attention and appropriate changes made in your personal medical record
I occasionally receive requests for copies of my patient’s medical records. Since your medical record is a confidential document, no information will be released without your authorization. All copies are made either by an outside "copy service" or by my office staff once per week. Therefore requests for copies of medical records should be made well in advance of your anticipated need. There will be an appropriate charge for copying records.
Drs. Palleschi performs most of his outpatient surgery, including microsurgical vasectomy reversals, at the HealthSouth Surgery Center at 1111 Sonoma Avenue in Santa Rosa. However, he is on staff at Santa Rosa Memorial Hospital and Warrack Hospital as well, and should in-patient hospitalization be necessary you will be admitted to the hospital of your choice whenever possible.
Prescriptions may be refilled in one of two ways:
Refill requests should be made at least two days before your current supply of medication runs out. An annual office visit is required for patients on long-term medical therapy. Therefore I will not approve a prescription refill for any patient who has not been seen once during the previous calendar year.
Prescriptions for all classes of pain medication will not be refilled by the weekend on-call physician. Any patient requiring pain medication on a weekend should be seen in the emergency room.
Fees, Payments, and Insurance
I believe that my fees are reasonable and comparable to other urologists in Northern California. I request that fees be paid at the time of service in order to reduce my office costs and thereby my office charges. Should larger fees, such as those for surgery, impose a burden on your financial resources, my office manager will assist you in arranging an individual payment plan.
We do expect full payment on all accounts within 60 days unless other arrangements have been approved. A surgical fee covers not only the procedure but also the routine post-operative care.
Services provided by other physicians, such as your family physician, radiologist, anesthesiologist, or other desired consultants will be separately billed by that physician’s office. Any outside lab work will also be billed separately by the performing laboratory.
I participate in Medicare, and am also a member of various insurance plans and several PPOs and HMOs. You may call your insurance plan or my office to see if I a participant of your plan. My office staff would be happy to provide you with an estimate of your anticipated care in advance.
Please remember that the agreement you have with our insurance company does not affect your responsibility for payment and all fees are ultimately due from you. Even PPOs and HMOs require a co-payment, deduction, or sometimes a balance for non-covered services. Please be prepared to pay your co-payment at the time of service.
We will be happy to bill your insurance company as a courtesy to you.
My computer system can handle only two companies, so if you have three or
more insurances we will give you an itemized bill that you can send to the
others. In order to expedite payment it is essential that you supply
current and proper insurance information to my staff.