I work only for patients. I am not contracted with any third-party payers and have chosen not to be a provider for government programs such as Medicare, AHCCCS, or Tri-Care.

Please remember that all medical services are a loss to your insurer. That is why insurers place increasing constraints on their contracted physicians and may be unwilling to reimburse you for services that do not meet their costly administrative requirements. I do not attempt to meet these requirements, and to do so would require me to charge a much higher fee. Some private insurers may reimburse you if you file a claim and attach an itemized bill. I do not provide CPT codes. I offer only noncovered services to beneficiaries of government programs.

To protect your privacy, I do not maintain an "interoperable" electronic records system. I keep my notes longhand, although I will prepare a transcribed summary for you or your physicians. Records are made available only with written consent of the patient or guardian, or as compelled by law. I may be able to provide you a digitized record if you want one, as on a flash disk or CD.