Overview of Practice Policies

We strive to give our patients the best medical care and services possible. In doing so, we would like to provide you with some information about our office and some of our policies.

If you are hospitalized for any reason, please notify our office as soon as possible.

Patient Appointments Available: Monday – Thursday 8:00-12:00 noon and 1:00-5:40 pm

Dr. Orszulak Scheduling: We schedule Annual Visits with Doctor; Sick Visits and some follow up visits are with Nurse Practitioner; About 80% ofher day is available for sick visits. If you are sick you must be seen for treatment. All visits are by appointment only.

Dr. Hashmi Scheduling: Dr. Hashmi sees all his own patients. About 80% of his day is available for sick visits. If you are sick you must be seen for treatment. All visits are by appointment only.

Established Patients: Will be seen for a complete physical examination once a year, below is a chart of the interval at which established patients should be seen;

All Patients
18-90 Years Old
Well Patients Patients with Serious Chronic Medical Problems
Every 12 Months Every 12 Months Every 3-6 Months

Insurance: It is the patient’s responsibility to understand what their insurance will pay for services, testing, copayments and vaccinations.

What to Bring to Your Appointment: Bring all medications, including vitamins and supplements in a Ziploc bag or update the list that was provided at your last visit with any changes or additions.

After Hours/Weekend Calls: Call the office number as usual. There is an answering service that will answer your calls, take a message and notify the Doctor on call. Narcotic medications will not be prescribed; Antibiotics may not be prescribed if you have not been seen in the office. If Antibiotics are prescribed a follow up appointment will be made at the time the antibiotics are prescribed; Failure to keep this appointment will result in a discharge from practice or a missed appointment fee of $50.00.

Prescriptions: All messages left on the office refill line will be answered hourly. Check with your pharmacy at the end of the day for your refill. Any medications that require a written prescription will generally not be given without an appointment. Doctor may not fill written scripts in the event a patient fails to keep a scheduled appointment.

Generally antibiotics are not given over the telephone.

Any medications that require a written prescription will take 24-48 hours to process and are available for pick up during office hours.

Payment: Copayments, Deductibles and account balances are due at the time of service and will be collected at sign in. If you do not have your copayment or account balance, you may be asked to reschedule your appointment.

Additional Fees: Disability, insurance and other forms are $5.00 per sheet. Missed appointments without proper 24 hour notification are subject to a $50.00 fee. The fee for checks with non sufficient funds is $50.00.

Missed/Rescheduled Appointment: Two missed appointments without proper notification will be reason for dismissal from practice; chronic rescheduled appointments (3 or more) will be reason for dismissal from practice.

FMLA Policy

The United States Department of Labor, Wage and Hour Division has created a federal program called Family Medical Leave Act. FMLA is designed to help employees balance their work and family responsibilities by allowing them to take reasonable unpaid leave for certain family and medical reasons. It also seeks to accommodate the legitimate interests of employers and promote equal employment opportunity for men and women.

Eligibility of FMLA provides employees with up to 12 weeks of unpaid leave each year for any of the following reasons:

  1. Birth and care of a newborn child of the employee
  2. Placement with the employee of a child for adoption or foster
  3. Caregiver for an immediate family member (spouse, child, parent) with a serious health condition
  4. Medical Leave when the employee is unable to work due to a serious health condition
  5. Provisions for Military Leave

Please refer to the specifications from the DOL Wage and Hour Division for more detailed information regarding the FMLA at http://www.dol.gov/whd/fmla/

  • FMLA will be the responsibility of this office only if the provider is the Physician treating the illness or condition for which FMLA is required. The Department of Labor (FMLA) has no jurisdiction if the Doctor denies the FMLA application.
  • FMLA will not be provided for the care of a family member unless you are the primary caregiver and cannot work as a direct result of being that caregiver.
  • FMLA will not be provided for medical issues proactively. FMLA will only be issued in the event there is a current serious medical issue; FMLA may be retroacted as noted in the US Department of Labor form WH-381 page 2.
  • FMLA will not be provided for medical issues until there is a known need for follow up or continued treatment that would require a patient to use more time than the patient is given as their “fringe benefits” for sick/personal time.
  • FMLA will not be provided for conditions that prohibit work if the patient does not follow up with continued treatments as necessary. Non-compliance will terminate any/all FMLA applications. Patients may be requested to have an appointment with their provider to discuss, start or continue the FMLA application process.