Provider visits are by appointment only. Due to the nature of the schedule, walk-ins are discouraged, but emergencies are never refused. Patients are seen according to their scheduled time and not by time of arrival to the office, with the exception of a true emergency.

In the event your usual physician is not available, an associate provider will be offered to you. Please remember to check in and out with our receptionists at every visit.

Since appointments are scarce at certain times, and always needed for urgent visits, you will be charged a non cancellation fee for a missed appointment if adequate notice is not given (24 Hours). Repeated missed appointments may result in discharge from the practice.

A missed/un-cancelled new patient appointment will not be rescheduled.

Telephone And Emergencies

Please discuss your questions or concerns during your scheduled office visit whenever possible. Our automated telephone response system will direct your call to the appropriate triage nurse, medical secretary or billing personnel. Every effort is made to handle your inquiry in an efficient manner. Be assured the medical advice you are given by our telephone triage staff has been given under the direction of our providers. Return telephone calls to the triage nurse (when you are left a message by them) should be made Monday-Friday between the hours of 9am - 12 pm or 1pm - 4pm.

Should an emergency arise outside regular business hours our answering service will contact the provider on-call if necessary.  Please limit these calls to emergencies or urgent problems. Notify our office if you have gone to the Emergency Room or Urgent Care Center without our directive.

Medical Forms

Forms should be brought to your office visit to complete when appropriate. If a form is needed between visits please allow enough time for completion. Depending on the complexity of the form a fee will apply. This fee is not covered by insurance. Allow up to 7- 10 business days for completion.

Prescriptions and Refills

All prescriptions refills should be requested during your office visit and will be electronically sent to your pharmacy along with any new prescriptions. If a prescription is not received by your pharmacy when expected, please contact us and inform the staff or on-call provider immediately so we may resolve any problems. Pharmacies can request routine refills electronically from our office. Your medications will be reviewed and reconciled at every visit. Therefore, bring a complete, updated list to your visit, including over the counter drugs, herbal supplements and vitamins.

As of 3/27/2016 all controlled/narcotic medications will be sent electronically as mandated by NYS law. Patients must contact office 48-72 hours prior to completion of refill to allow for authorization process. Controlled drug refills will only be completed during regular business hours. Patients must be seen every 2 months minimally when prescribed these medications.

Specialist Referrals

If the need arises for you to see a specialist, we ask that you please contact the office at least one (1) week prior to our appointment. You may be requested to be seen in the office before a referral is issued. Insurance Referral requests are handled Monday through Friday 9am-4pm. A voicemail message may be left.

Insurance & Payment

APWNY participates with most health insurances. Please bring your insurance card and prescription card with you to every visit. In accordance with State, Federal and Managed Care Requirements, copays and deductibles are your responsibility. Payment of any non-covered service is expected to be paid at the time of your visit. Cash, personal check, or credit/debit card (MasterCard/Visa, Discover) are accepted for payment. Please advise us if you have any special financial difficulties. We will make every effort to work out a mutually satisfactory payment plan.

There will be a $15.00 fee for returned checks.


Questions regarding your account may be directed to our billing department Monday through Friday 9:00am - 12 noon and 1:00pm - 4:00pm at 829-1100