Our surgery scheduler will send you a portal message and attempt to call you to schedule surgery based on the order of when your request was received, unless specifically ordered on an emergent basis. You should get your portal message 5-7 business days from when the scheduler receives your surgery order request from your provider. Please note that not all surgery order requests are processed by your provider on the same day as your appointment.

If you have not been contacted by our surgery scheduler, please feel free to contact the office to inquire as to your surgery request. Unfortunately, errors do occasionally occur and perhaps your request has not been sent yet. There are also times that your provider will wait to send through a surgery order request to give you time to think about your options before making a decision. In that instance, once we hear from you as to which surgery you would like to pursue, a message is then sent to your provider detailing your decision and they will then send a surgery order request to the scheduler.

Once a surgery order request has been received, our surgery scheduler will look for the first available surgery date with your provider. At that point, the surgery scheduler will then contact you to make sure this date will work for your schedule as well. If there is a conflict with the date the scheduler has offered, while she is on the phone with you, she will determine the next available surgery date(s) until a date is agreed upon. We do have limited surgical availability due to hospital blocks, your exact day may not be available. Once we have your date we must obtain auth for the date you picked PRIOR to scheduling with the hospital. This can take up 10-14 business days to get a response on approval from insurance.

Once your surgery has been scheduled, the surgery scheduler will send a Healthcare Service Estimate to your portal. This will provide the PROVIDERS estimated cost, not the hospital/facility (unless being done in the office). We will contact your insurance company to verify eligibility and benefits as well as to inquire as to what your out of pocket and deductible costs will be. At this time we will also apply for authorizations if needed.

Your recovery time is based on the procedure performed and what your specific job duties entail. If there are questions regarding how much time off you will need, you can discuss this with your provider at your preoperative appointment.

You will need to check with your employer to verify if you are eligible for FMLA/Short term disability for your upcoming surgery. If these forms need to be completed, please turn them into our office as soon as you can, as it can take up to 7-10 business days to complete them. These forms are also completed based on the order of when your forms were received. You can turn your forms in to the receptionist at your provider’s office or you can fax them into the office. Please remember that your time off is based on the procedure performed and what your specific job duties entail. A small fee of $25.00 may apply.

• Menstrual history 
• Pregnancy and birth history (if applicable)
• Sexual health and contraception
• Menopause symptoms (if applicable)
• Past surgeries and conditions
• Family history (breast, ovarian, uterine, colon cancer, etc.)
• Medications and allergies
• Lifestyle: diet, exercise, smoking, alcohol, mental health
• Questions about your current health

• Blood pressure
• Weight, height, BMI

• Heart and lungs
• Thyroid
• Abdomen

• Check for lumps, skin changes, nipple discharge
• Education on self-breast awareness
• Discussion of mammogram timing

• External genital exam
• Speculum exam (cervix and vaginal walls)
• Bimanual exam (uterus and ovaries)

• Usually:
  • Ages 21–29: Pap every 3 years- depending on history
  • Ages 30–65: Pap every 3 years OR HPV test every 5 years OR co-test every 5 years- May be different depending on personal history

• Based on age, sexual activity, and risk

• Birth control options
• Fertility planning
• Menstrual concerns
• Menopause management
• Sexual health
• Safety, mental health, and wellness

• Mammogram order
• Bone density (DEXA)
• Colon cancer screening options discussed.
• Routine, age-appropriate lab work if needed. 

• A well woman exam is meant to be preventive, all of the above when combined into one appointment are considered a well woman exam.
• Anything beyond what is listed above, or often coming for an individual problem listed above separately, is considered a “problem” visit.
• Problem visits require a separate appointment. We do this to ensure your wellness is covered without extra charge to you. 
• The Affordable Care Act (ACA) requires most private health plans to cover a wide range of preventive services (like screenings and well woman counseling) at no cost to the patient, meaning no copays or deductibles, when received from an in-network provider.