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Full Spectrum Rural Family Practice
In offering our families the full range of primary care services, we are a rarity.

Office Hours - Telephone

Monday through Friday 8:00 a.m. to 5:00 p.m.
Saturday 8:00 a.m. to 10:30 a.m.
Telephone             585-237-3227      
Note: It is NOT the policy of this practice to treat illness over the telephone. If you are ill, we would like you to make an appointment so that we may evaluate your problem properly. Most referals require a visit first to evaluate where and how to refer, as well as to initiate preceding testing or treatment that may be necessary.  Our referral department can take messages, but please do not leave messages for urgent requests. Emails likewise should only be for non-urgent requests that can be handled by a secretary such as referrals, routine medication refills, or appointment questions. 
 
It is our usual policy to call you when results are back for tests that we have ordered, even if they are normal.  If you have not heard within two weeks, please call us to have us investigate the delay. Please return our calls if we leave a message. It is very important to be able to convey information necessary for your health. The nurse is obligated to continue trying to reach you with results, so it will save us time if you return calls promptly.
 
Appointments

We offer evening hours especially for the convenience our employed patients.
 
If you require a same day appointment, we encourage you to call our office early in the morning. We are committed to providing an appointment for illness within three days, but usually it is sooner. When calling for an appointment, please specify if you are booking a visit for evaluation or treatment of a specific problem, or for a wellness visit with physical exam.  Consider making a morning appointment if you would like fasting blood work such as a cholesterol panel drawn.  An eight hour fast is sufficient; you may drink water and please take your usual medications. Black coffee is permitted.
 
Please provide the nurse with your reason for scheduling the appointment when you call or email. Tell the nurse who puts you into your exam room all of the issues you would like to address in the visit, because this is how we prioritize the time during the visit. We may not always be able to cover everything in a single visit, particularly if additional questions emerge.  It helps to bring your blood glucose log, your home blood pressure readings, and medications an med lists to your appointment.
 
Every effort is made to see you at the time of your scheduled appointment, however patients with urgent or special problems may take precedence. You may notice patients who arrived after you being called into the exam room ahead of you. These patients are probably seeing another provider.  We do our best to stay on schedule.
 
Cancellations/ Missed Appointments

We discourage missed or no-show appointments.They are an inconvience to our staff and prevent other patients from being seen. Please contact our office as soon as possble if you are unable to come to an appointment. Multiple missed appointments may be grounds for dismissal from the practice.

After Hours/ Weekends

After hours and on weekends and holidays, our office telephone message will instruct you to call the  Wyoming County Community Hospital answering service at 786-2233. Urgent messages will be relayed to the physician on call. Please only call for urgent questions. If you have not recieved a response within thirty minutes, please call again. Physicians are taking call from home.  For emergencies such as a possible sudden heart attack or stroke, please call 911 or go directly to the emergency department as time may be of the essence.  The three physicians rotate call coverage.  Saturday morning hours with the on-call doctor are available for weekend illness, but call early.

Prescriptions and Refills

Just as we cannot treat an illness over the telephone, we cannot prescribe medications over the telephone. We encourage you to call your pharmacy for long term medication refills. They can electronically contact us if your renewal is due. Long term medications refills will be handled during regular office hours and ONLY if you are under our care. Scheduled medications such as narcotics, sedatives, and simulant medications cannot be called in. You must give us two days advanced notice to have these refills printed and signed.  NO ROUTINE PRESCRIPTIONS WILL BE HANDLED AFTER REGULAR OFFICE HOURS OR ON A WEEKEND.
 
Chronic conditions such as elevated blood pressure, diabetes, or depression usually require followup appointments every three to six months to reevaluate the prescriptions. If you need long term medication refills, have the name and dosage of the medication and your preferred pharmacy available when you call or come for your appointment.

Services( characters out of 5000)

We specialize in providing our families the full range of primary care:

-Caring for newborns at Wyoming County Community Hospital
-Stocking all routine childhood and adult immunizations on site
-Delivering babies
-Offering routine gynecology services including paps and birth control
-Managing high acuity illnesses for all age groups that minimizes your need to travel frequently to distant specialists
-School physicians for Perry and Genesee Country Christian School
-Performing minor office surgeries and other procedures like skin biopsies, vasectomies, joint injections, pulmonary function tests, and sutures
-Saving you from frequent trips to the lab for blood work since our nurses provide skilled phlebotomy on the premises
-Admitting our own patients to WCCH and providing their care throughout their stay
-Serving our disabled, rehabilitating, and declining patients at the -Skilled Nursing Facility, at Eastside in Warsaw, and at area ICF and ARC homes
-Coordinating Hospice care and house calls when it becomes necessary

Our goal is to provide our patients with the highest quality of care while meeting as many of their health care needs in one location as we can. Our medical practice is deep and broad. We serve over 4,000 families; that is 11,000 patients. Our reputation is excellent. Our standards are high. Our staff is dedicated, qualified, and consistent. And our patients are a delight to serve.

Procedures:
Newborn nursery care, stabilization, and transfers when necessary to Buffalo Children's Hospital or Strong Memorial Hospital
First Assistance for Ceasarian Sections
Circumcisions
Lysis of Tongue Tie
Uncomplicated Obstetrics for women who have not had a prior Ceasarian Section.  We have an excellent relationship with our local Obstetricians who provide our backup for consults for complications and provide our patients with C Sections when necessary.
Pre-conception visits
Pap smears
Endometrial biopsies
Prescription contraceptives including Depo-provera injections
Diaphragm fitting
Vasectomies
Sigmoidoscopies
Corticosteroid injections for joints, tendons, pain trigger points, and bursas
Caudal epidural injections
Casting for uncomplicated fractures
Splints
Insulin training and management
Insulin pump management
Skin biopsies, "lumps and bumps"
Cryotherapy for warts and superficial skin cancers
Sutures for lacerations
Abscess drainage
Audiograms
Drivers physicals for CDL licenses
Routine immunizations
Flu shots
Allergy shots
Pulmonary function tests using spirometry
Cornea abrasion evaluations for minor eye injuries
Worker's Comp injuries
Accutane for acne
Hospital admissions, including intensive care unit, ventilators
Thoracentesis
Nursing home and rehabilitation care
ABI's for peripheral vascular disease
Phlebotomy
Nosebleed cautery packing 
Dystrophic toenail care

As a primary care practice, we serve as patients’ first point of entry into the health care system. As a medical home, we coordinate and integrate your medical care across specialists, hospitals, and other agencies. Each patient has a personal physician, as well as access to excellent nurse practitioners trained in family medicine who provide expanded availability of health care to all our patients. Some also appreciate the opportunity to see a female provider. Our investment in a highly rated electronic medical record allows us the ability to instantly communicate your medical needs to pharmacies, consultants, and labs. We exceed federal meaningful use criteria in using our medical record to enhance the care care delivered to our patients.
 
Primary care practices provide health promotion, disease prevention, health maintenance, counseling, patient education, diagnosis and treatment of acute and chronic illnesses. Family Practice includes initial evaluation and the treatment of the most common conditions across medical fields:
Obstetrics
Gynecology
Pediatrics
Internal Medicine
Geriatrics
Orthopedics
Endocrinology
Neurology
Urology
Dermatology
 
Our practice has been nationally recognized as a Patient Centered Medical Home, meating benchmarks of patient-cneterd care using proven health information systems for more efficient, more coordinated care.

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