Office Policies

New Patients

To become a new patient:

  • Pick up the necessary paperwork at our office, or download it here.
  • Fill out your paperwork and bring it to Hornsby Family Medicine or email it to
  • You will receive a call to schedule your appointment, once your paperwork is approved.

When it’s time for your appointment:

  • Please make sure that you have confirmed your upcoming appointment via text, email, or phone call appointment verification.
  • Make sure to bring your insurance card, ID, and payment (cash or credit card) for your copay or deductible.
  • Prior to your visit we encourage you to make a list of any symptoms, questions, or medications you have.


  • We value the time we have set aside to see and treat you and your family. If you are not able to keep an appointment, we require a 24-hour notice.
  • Multiple failures to give appropriate notice may result in dismissal from Hornsby Family Medicine.
  • You will be notified of a missed (no-show) appointment and associated fee by letter.
  • If you are late for your appointment (>15 minutes), we will do our best to accommodate you. However, on certain days it may be necessary to reschedule your appointment.

Wellness Care

  • The purpose of a well visit (preventative care visit) is to review overall health, identify risks to health, and learn how to keep you and your family healthy.
  • Wellness care is an essential part of keeping you healthy.
  • New patients will not be scheduled for wellness visit before Hornsby Family Medicine has received records from the previous provider.
  • If you schedule a preventative care visit and ask the doctor about specific problems, concerns, illness, or prescriptions a diagnostic visit by the provider may be required and will be billed to your insurance, if necessary. Your insurance may charge you a copay or deductible for the visit.
  • If a preventative care visit is scheduled and the patient is acutely sick requiring treatment, a diagnostic visit by the provider is required and will be billed to your insurance. Your insurance may charge you a copay or deductible for the visit.


  • Advance notice is needed for all non-emergency referral initiation, typically 2 business days.
  • Referral appointment scheduling may take up to two weeks for completion.
  • It is your responsibility to know if a selected specialist participates with your insurance.

Medication Refills

  • For medication refills, we require a 48-hour notice, during regular business hours. Please plan accordingly.


To ensure a seamless experience for our patients, we kindly request that you verify your insurance coverage prior to scheduling an appointment. We are proud to accept a variety of insurance plans, including:

  • BCBS including Blue Advantage and AllKids 
  • Medicare
  • Medicaid
  • UHC & UHC Medicare
  • Cigna  & Cigna Medicare
  • Aetna & Aetna Medicare
  • Tricare
  • WellCare
  • Humana
  • Viva Medicare

Our team is available to address any questions or concerns you may have regarding insurance coverage.

Forms & Downloads

Patient Registration Form

Office Policies

Financial Agreement

Toxin Consent Form

Our team is dedicated to helping you and your family maintain optimal health. Whether you need advice on lifestyle choices or specialized care, we have you covered. Rest assured that our highly-trained providers will work collaboratively with other top-notch healthcare professionals in the area to ensure that you receive the best possible care.

We look forward to serving you at Hornsby Family Medicine!