Telemedicine Appointment Request
During these unprecedented times of the current COVID-19 pandemic, we are dedicated to remaining available to our
patients and their medical needs. In an effort to support social distancing, and keep our patients, families and staff
healthy, we are launching telemedicine visits starting March 23
Please be aware that telemedicine has its limitations, and is not appropriate for visits that require a physical exam such
as prenatal care, procedures, etc.
Some examples of appropriate telemedicine conditions include: urinary tract infection, vaginitis, post op check,
preconception, contraception and menopause counseling, infertility evaluations.
Also, if we determine at the time of your telemedicine visit that you require an in office evaluation, we will still be billing
the insurance and/or charging for the telemedicine visit as a service has been rendered.
Please call our office or email the practice through the patient portal to schedule this visit. Upon completion of the visit,
we will submit a claim to your in network insurance company for reimbursement. If your insurance does not reimburse
for telemedicine, or your insurance is a plan we do not participate with, you will be charged an out of pocket expense of
We will be using Doxy.me for these consults. You will receive an invite by text or email before your appointment time.
We ask that you sign below an agreement of the above terms. Once it is submitted, we will be happy to schedule your visit.
Thank you for your patience and cooperation during this difficult time, and we look forward to keeping you and your
Spring OB GYN