Narcotic/Scheduled Medications

Dr. Schulz rarely believes it is in the best interest of her patients to rely on chronic narcotics or sedatives, and thus infrequently prescribes them. If you come to her on chronic narcotics or sedatives she will work to decrease your dose to the lowest tolerable level.  Additionally, for both of your safety and hers, she requires a signed contract and random drug testing for continued prescribing.  By law, these medications cannot be refilled over the phone.

Cancellation/No Show Fee

Your appointment slot is long (typically 20-45 minutes depending on appointment type). Although we may not use the entire time slot for your appointment, this time is reserved for you and no one else. Please cancel your appointment online or by phone at least 24 hours prior to your appointment if you need to cancel. This will allow time for the slot to be filled by another patient. If you do not notify us at least 24 hours in advance, you will be charged a $50 cancellation/no show fee.

If you do not come to your appointment without canceling, or cancel with less than 24 hours notice, you will be required to provide a credit card number in order to schedule another appointment. On the second missed visit or less than 24-hour cancellation, the missed appointment fee will be collected.

Email

Due to the volume of emails I receive, I am typically unable to respond daily. Email responses will generally be limited to twice per week. I am slowly starting to enroll all patients into Patient Alley which integrates with your chart.  From this portal, you are able to see your labs and email me directly.  This way your emails will be a part of your patient chart and not floating around in my google inbox so they can be referenced and we can maintain HIPAA compliance.  You can also request appointment times via patient portal email, but it is faster if you call or schedule online through the website- www.integrativemedpdx.com.

If you have not been emailed a link to register for Patient Alley yet please let me know and I will send you a link as soon as I can.

If your concern is urgent: re-send your message with the word URGENT in the subject line and I’ll attempt to reply sooner (but take note that I am trying not to check messages in the evenings or weekends).  You can also call my patient line at 971-270-0402 to speak with my assistant.

If this is an emergency, call 9-1-1 or go to the emergency department.

Just a Reminder: New Issues or new prescriptions require an appointment.  Issues managed by phone or email message that include a new complaint, request for a new prescription, or any matter that takes more than a few moments of the doctor’s time will incur a fee. This fee will be charged and an invoice will be sent. If you would like to have this type of question answered and you would like to use your insurance benefits, then please schedule an in-person acute ½ hour office visit.

Refills on medications

If you are in need of a medication refill, please call the pharmacy and they will contact my office so that we can authorize the refill.  Please note regarding refills: refills can take up to 5 business days to complete the entire refill process from start to finish. Please plan accordingly.

Scheduling

If you want to know when your next appointment is or need to reschedule, please call 971.270.0402

Lab Results

You will be able to view labs via Patient Portal.  I am happy to answer any questions and offer treatment in an office visit or scheduled phone consult (billed as an office visit).  If your labs are all normal you will receive them via Patient Portal and receive a phone call or email stating labs are normal or small dosing changes may be made free of charge.   This way nothing falls between the cracks. In short: it helps me deliver the best care to you.

Records

According to federal law, we can not release records to you or another provider or person without your written consent and signature. Let us know if you need a release form sent to you to complete. It can take up to 7 days for our office to send records after a release of records has been received. Note there is a minimum of a $25 charge for records printed and sent to anybody other than another provider.

Big Scary Lab Bill?

If your labs were sent to Quest and you have Kaiser CHP there was an error in billing.  Call Quest’s billing department and tell them to bill CHP group directly.  This has been an ongoing problem.

Thank you for your understanding as this is the most effective way to provide the best care for as many people as possible.