IM&Phandbook2022Print

Health is a state of complete physical,
mental and social well-being, not merely the
absence of disease or infirmity.
Internal Medicine & Pediatrics
Wellness Center... A Patient-Centered
Medical Home
You will always be treated with sincere
compassion and friendliness.

Hi, my name is Carlene Wilson,
I would personally like to welcome you to our practice if you
have just joined us. If you have been with us through the
growing years, thanks for sticking with us during the
relocation and everything it involved. This practice is more
than my job; it embodies my beliefs, values and passions.
I believe wholeheartedly in primary care and its role in
overall health. I believe disease prevention is better than its
cure, and that if prevention fails, early detection and good
treatment is a must. I also believe that we are all unique yet
similar. Science is effective, but it has its flaws. I know being
healthy involves more than taking a pill. Yes, we all have the
right to choose what treatments we have, but circumstances are
not always black or white. I also believe decisions should be
made with knowledge, not from fear. I believe doctors are
teachers, not just prescription writers.
This practice was built and operates around these beliefs. To
achieve our main objective of providing the best healthcare for
you and your family we must always work together. You have
my promise that the staff at IM&P Wellness Center will
always be there to help you. We will provide you with the best
information and help you make the best choices.
Healthcare and technology are rapidly changing around us,
and sometimes it is hard to keep up. Our practice has
traditionally been on the leading edge with some of these
developments. At times it has been a challenge for those who
are not as technologically inclined. Most changes are, in my
opinion, for the better; some are just .... well, more paperwork.
However, as adults, we know that sometimes we have to take
the good with a little bad to get the best outcome.
We now present you with this easy-to-read patient handbook
to help you through the changes that affect this office. Reading
this handbook will give you a complete understanding of the
services we offer and the way we operate. Our website
(impwellnesscenter. com) remains a useful means of
communication and we will continue to improve it.
In developing this handbook, we incorporated your
suggestions. Please continue to provide us with feedback,
using either the suggestion box in our adult well waiting room
or our online survey.

Carlene Wilson
Physician
Dr. Carlene Wilson is a woman
with a deep commitment to
family and the service of others.
These values were shaped
during her childhood in Jamaica,
where she grew up in a
Christian environment. As a
Christian, it is natural for her to
become involved in
activities that help
the less fortunate
in her community.
As far back as
she can recall, she
has always
wanted to be a
doctor. What
better way to
satisfy her innate
curiosity and
desire to help
others?
Dr.Wilson has
had a successful
medical career. At
each stage of her
career she has
distinguished herself as being
more than the average physician
and has received numerous
accolades for her hard work and
dedication.
Board Certified in both
Internal Medicine and Pediatrics,
Dr. Wilson is a Member of the
American College of Physicians,
American Academy of
Pediatrics, and the American
Society of Bariatric Physicians.
She graduated in 1997 from the
University of the West Indies in
Jamaica, where she received
several honors. After several
years in general practice, she
pursued specialty training at the
Yale Univeristy-
Bridgeport
Hospital Combined
Internal Medicine
and Pediatrics
program.
She continued to
excel academically
and with in patient
care. She served as
the program’s Chief
Resident from 2003
to 2004. In 2011,
she was selected by
Ocala Magazine as
one of the area’s
Top Doctors.
Dr. Wilson is
dedicated to her
work, but her family has the
highest priority. She enjoys
spending time with her husband
and their three sons. When work
is over, she dabbles in the
kitchen trying to recreate dishes
she has seen on TV or eaten in a
restaurant. One day, she hopes
to cook with organic vegetables
grown in her backyard.

Our Services
Primary Care Services
As your primary care provider, we offer you medical services that
facilitate the early detection, prevention and treatment of diseases.
As your medical home, we will facilitate access to age-appropriate
Secondary Care (Specialist), Tertiary Care (Hospital), and Ancillary
Services (Physical Therapy). Insurance companies recognize the
importance of preventative care services to the long-term cost of
health care: this is why most plans won’t charge you any co-pay.
The quality of our care is measured by the percentage of our patient
population that receive age appropriate preventative services. This includes
the healthiest patients. For our patients with chronic health issues, we are
assessed on the safety of medications we recommend, your compliance with
medications, appropriate use of diagnostic tests, the degree of control of
diseases such as diabetes, the frequency with which you use the emergency
room, and your understanding of your overall care.
All patients receive a comprehensive health assessment annually.
It involves a review of the following: Past Medical History,
Surgical History, Family History, Medication History, Allergy
History, Social Risk Factors for poor health outcomes (smoking,
alcohol use, illicit drug use, inability to afford medications, lack of social
support, adverse living conditions), Other Risk Factors (such as poor
nutrition, risk of falls, inability to take care of daily needs), Mmemory
Assessment, Examination for abnormal signs of disease, Body
Mass Index and Blood Pressure measurement.
Chronic Care Services
Patients with two or more complex medical diagnoses qualify for
the Chronic Care Management Program. These patients will
receive a written Plan of Care. They may receive phone calls
between their appointments to assist them in overcoming care
barriers. They will have direct access to a Medical Assistant to
help them access needed services. Patients will sign an agreement
to receive chronic care services.

Things You Should Know
Appointments
Patients are seen by appointment. If
you cannot make your appointment,
please call the office and cancel it.
There is a $25 No Show charge if you
do not call to cancel. Barring
emergencies, we try our best to see
you at your scheduled time. If you
have not been attended to within 15
minutes of arrival, please alert the
receptionist.
For your comfort, we have separate
seating areas for our clients. Well
families are seated in the play room.
Well adults are seated in the large
waiting room. Sick adults and
children are seated in our family
room left of the reception desk.
Visit Types
As your primary care provider, we
will perform a comprehensive
physical/well visit annually. At
this visit, we will identify risk
factors and barriers to your having
a healthy life. You will be provided
with a Plan of Care and
recommendations including cancer
screens and immunizations. Most
insurances strongly recommend
this and will cover your visit.
During chronic disease
management or routine office
visits, we will review your chronic
diagnoses, such as asthma, refill
medications, and review test
results. The recommended
intervals for your appointments
are based on best practice
standards to ensure your safety.
A sick visit does not replace your
chronic disease management
visit. An extended visit will
combine routine and physical
visit features.
Medication
For your safety, prescription
requests will be handled only
during office hours. Narcotics
prescriptions will never be called
in outside of office hours.
Medications are reviewed and
refills provided at your office
visit. Please bring medication
bottles to your appointment for
verification. Call-backs for refills
after an appointment will be
charged $10.
For your convenience, we
dispense some medications in
the office.This saves you a trip to
the pharmacy when you least
want to go.
Diagnostic Services
As part of our commitment to
primary prevention and early
detection of disease, we also
offer cardiac screening when
appropriate and lung function
testing.

Financial Policy
Your medical insurance is a
contract between you and your
insurance company. You are
responsible for ensuring that
your accounts are in good
standing. As a courtesy to you,
we will file your insurance claims
for all appropriate medical
expenses.
If payments are delayed, we will
advise you. Co-pays and
deductibles are expected in full at
the time of service. If necessary,
alternate arrangements can be
made prior to your visit. For your
convenience, payments can be
made with cash, check, debit or
credit card.
Weight Management
At IM&P Wellness Center, we
recognize that being overweight
is a complex medical problem
requiring a customized treatment
approach designed for your
unique lifestyle and health issues.
Our weight-loss programs have
been shown to reduce blood
pressure, control blood sugars
and decrease use of medications.
program, you can safely lose 2-7
pounds per week.
Our traditional food program
allows maximum flexibility using
foods you prepare at home. This
plan can also incorporate some
meal replacement products for
more effective portion control.
Medications and supplements are
used as appropriate to ensure
compliance and augment weightloss.
Skin Care Program
We are pleased to provide a longterm
solution to all your aesthetic
and cosmetic care needs. We use
only the latest technology that
has demonstrated lasting results
while maintaining the highest
safety standards. We are able to
treat issues such as wrinkles,
rosacea, acne, sunspots,
unwanted skin pigmentation,
spider veins and excess hair using
the latest in medical laser
technology and innovative skin
care products. Consultations with
our clinic aesthetician are free.
We offer the acclaimed
OPTIFAST meal replacement
program. This replaces your
normal diet with calorie and
portion controlled shakes, bars
and soups fortified with all
required nutrients. With this

Communications Center
Call (352) 563-5070 and based on your selection, you will be
routed to the person best able to assist you. If they are not
immediately available, please leave a message or request a call
back and your call will be returned shortly.
Office Hours
Monday to Sunday 8:00 AM to 6:00 PM
Lunch from 12:00 to 1:00 PM
Main Number: 352 563 5070
When Calling –PRESS:
Appointments
Refills
Results
Billing
Directions
Weight Loss
Skin Care
Repeat Options
Speak with an
assistant
Will ring up to 90
seconds or until an
assistant answers.
If no one answers,
please leave a
message. This will
be in our general
mailbox. We will do our
best to return your call
the same day.
PRESS
After Office Hours
Call 352 563 5070
to reach the doctor on call. Your call will be returned in
an hour. If your phone does not accept blocked calls, you must
unblock it while waiting for our call.

Email
The Patient Portal is the most efficient way to
communicate with us via email.
General Mail
Internal Medicine & Pediatrics Wellness Center
6038 W Nordling Loop Crystal River, Fl 34429
Payments
Internal Medicine & Pediatrics Wellness Center
P.O. Box 2012 • Lecanto, Fl 34461
Reminder Calls
Please provide us the phone number
you check most frequently. This may
be your cell phone. Let the front
desk staff
know that this
is your MAIN
number. We will
usually call 48
hours prior to your
appointment
to give you an
opportunity to confirm.
You will also receive
Preventive Health Reminders for
physicals, immunizations and
mammograms.
Text Messages
may be sent the
day of your
appointment if
reminder calls are
not responded to.
REMINDERS
E-mail Reminders
Using our Preferred Facilities and
having a Patient Portal
account will allow you to
get early notification of
test results and services
that affect your care.
Phreesia will send you
an invitation to fill in your
pre-registration information.
Post Cards
You may also receive various
reminders through the mail if we are
unable to reach you via phone or
email.
Special Needs
If you are unable to access
the internet or handle your
phone calls and want your
children or parents to be
contacted instead, please
provide contact information for
the appropriate relative.

Preferred Facilities
These facilities accept most insurances. You must verify at the time
of service that they are still a participating provider with your
insurance company. Selected facilities have data transfer compatible
with our electronic charts for enhanced efficiency. We have no
financial relationships with them.
RADIOLOGY SERVICES
Crystal River
Bravera Health Seven Rivers
6201 N Suncoast Blvd
Crystal River, FL 34428
URL: srrmc.com
Phone: (352) 795-8394
Fax: (352) 795-8303
Citrus Diagnostic Center
922 N. Citrus Avenue
Crystal River, FL 34428
URL: citrusdiagnosticcenter.com
Phone: (352) 795-9200
Fax: (352) 795-6460
Homossassa
Homosassa Open MRI
8464 W. Aquaduct Street
Homosassa, FL 34448
hmri8464@hotmail.com
Phone: (352) 628-4800
Fax: (352) 628-4801
Inverness
Inverness Medical Imaging
2105 Hwy. 44 W.
Inverness, FL 34453
Phone: (352) 637-6100
Fax: (352) 637-6900
Ocala
Advanced Imaging Centers
2300 SE 17th St , Suite 800
Ocala, FL 34471
URL: hcahealthcare.com
Phone: (352) 867-9606
Fax: (844) 212-9295
MRI Center
2300 SE 17th St , Suite 302
Ocala, Florida 34471
Phone: (352) 867-9606
Fax: (844) 212-9295
Sugar Mill Diagnostic
8303 S Suncoast Blvd.
Homosassa, FL 34446
URL: smdi.net
Phone: (352) 628-9900
Fax: (352) 628-9700

Laboratories
QUEST appointments can be made throughout the USA by
calling: 1-888-277-877 or visiting questdiagnostics.com.
LABCORP appointments can be made throughout the USA
by calling: 800-877-3818 or visiting: www.labcorp.com
QUEST
Crystal River
7927 Gulf to Lake Hwy
Crystal River , FL 34429
Phone: (352) 770-0020
Fax: (352) 563-5238
Homosassa
8287 S. Suncoast Blvd.
Homosassa, FL 34446
Phone: (352) 382-0355
Fax: (352) 382-3067
Inverness
210 S. Apopka Avenue
Inverness, FL 34452
Phone: (352) 637-1020
Fax: (352) 344-8427
Fax: (352) 465-2787
Ocala
8602 SW St Rd 200
Suite J Ocala, FL 34481
Phone: (352) 873-9044
Fax: (352) 873-0069
Ocala
2910 S.E. 3rd Ct.,
Suite B
Ocala, FL 34471
Phone: (352) 351-9244
Fax: (352) 732-9511
LABCORP
Crystal River
(in Walgreens)
310 N.E. US. Hwy. 19
Crystal River, FL 34429
Phone: (352) 486-7500
Fax: (352) 564-1892
Inverness
131 S. Citrus Avenue
Suite 100
Inverness, FL 34452
Dunnellon
11371 N. Williams St. #2
Dunnellon, FL 34432
Phone: (352) 465-2757

Frequently Asked Questions
What type of practice is this?
We are a Primary Care facility that treats adults and children. We
also provide weight management and aesthetic care.
PROVIDERS
Who are your providers?
This practice is staffed by an Internist, Pediatrician and Family Nurse
Practitioners (NP). Dr. Wilson is board certified in both Internal
Medicine and Pediatrics.
What is a Nurse Practioner?
A Nurse Practioner has earned at least a Masters Degree and has
taken courses in the prevention, diagnosis, and treatment of disease
relevant to a chosen specialty. NPs are able to work without a medical
doctor. NPs are active in many clinics throughout the country.
Some may have worked as nurses before changing careers. That
nursing experience is an invaluable asset when providing care to
patients when compared to a medical doctor. In our practice, our NP
work independently but have immediate access to Dr. Wilson for
consultations on cases that concern them.
I like my Nurse Practitioner so can I skip the doctor?
Our NPs work in concert with a doctor and all patients in our
practice must see this doctor once per year. This ensures that the
supervising doctor is familiar with your physical exam and health
issues from direct experience, not just from reviewing your chart.
Once the physician visit is completed, all other visits can be with
the NP of your choice.
APPOINTMENTS
Do I have to schedule my appointment when I am leaving?
We prefer you do this so that you can get the provider and time of
your choice. It is difficult to see your provider of choice if you make
your appointment last-minute. We do not overbook our schedules.
Can my spouse and I be seen at the same time?
Yes and no. You can be seen during the same time slot by different
providers. If you wish to see the same provider or be in the room for
each other's visit, there will be someone scheduled between you.

Why can’t I always see Dr. Wilson for my appointment?
If there is an opening on her schedule, you will be able to see her.
However, since her schedule is filled up a few weeks in advance, you
are less likely to see her when you call for an appointment within a few
days. The NP who sees you will interrupt Dr. Wilson if he or she feels
immediate input on your care is needed. Less urgent cases are
reviewed with her daily.
Why can’t I see the doctor?
If the doctor is not available at the time you are requesting, we can get
you in t he same day or the next day with another provider. If your
medical issue is not urgent, you can schedule an appointment when
the doctor is next available.
WALK-IN VISITS
Do you take walk-in visits?
Patients are seen by appointment. If there is an opening, you are welcome
to wait or you can return closer to the time of your appointment.
OFFICE VISITS
How long is a typical appointment?
An appointment usually lasts 15 minutes with the doctor or 20 minutes
with the NP. Additional time depends on the other services being
performed each day. Your appointment time with the provider is the
time we expect to start your visit. Your appointment begins at check-in
during which your contact information and insurance is verified and
continues with triage when the Nurse/MA reviews all your
medications, any changes to your records made by specialist doctors,
and updates your social and family risk factors. Procedures may be
performed or vaccinations given per our protocols before you see the
provider. You will then see the provider alone or with a group.
Why do I have to come in every 3 months?
Regular appointment intervals vary from 3 to 4, 6 or 12 months. The
intervals are based on a careful consideration of several factors
including your age, diagnosis, risk factors, and the number of
prescription medications you are taking. You may also be asked to
return to review abnormal test results. These appointments are critical
to your health. Without them, we will not be able to identify
medication side effects, assess their efficacy and monitor for disease
progression. It is a great day when we see you and are able to say “All
is well, continue treatment and return in 3 months.”

Why do I need a physical if I am here every 3 months?
The focus of a physical exam is different from a regular follow-up
visit. At a physical, our goal is to identify any new risk factors for
disease, provide screening services to detect cancer and provide
immunizations to prevent disease. We perform a comprehensive
physical exam which will include a rectal exam, pelvic and breast
exam if appropriate. There simply is not enough time during a
chronic care visit to do this effectively.
If I come in for a sick visit do I still have to come back for my
regular follow-up in a few days?
Sometimes. After a sick visit, a follow-up may be needed to ensure
resolution of your symptoms and this can be combined with your
already scheduled follow-up visit. On the other hand, if all your labs
and other tests that will be reviewed at your regular follow-up are
available at your sick visit, the provider may address those and cancel
the upcoming follow-up appointment.
Can I do my pap at the same time as my 3-month follow-up?
No. To adequately address both issues, you will need 2 appointments
on the same day. We cannot guarantee your insurance will pay for 2
visit types on the same day. Most do not and you could end up being
responsible for payment in full for at least one of them.
BILLING/INSURANCE
Do you accept my insurance?
We accept most commercial PPO type insurances. We accept only a
few HMO plans. Visit our website for a complete listing of insurances
we are in network with.
Are we currently accepting new Medicaid/Sunshine patients?
No, our panel is closed. Whenever we have openings, we offer those to
family members or existing patients with that insurance.
Does my insurance pay for a physical?
Most insurances cover physical exams. If your insurance does not,
speak with the billing supervisor to get a self-pay discount. A physical
is too important to your care to not have one.

Does Medicare pay for a physical?
Medicare pays for a Wellness Visit which has all the components of
our physical but does not require a physical examination. It also
requires documentation of other services we provide at that time such
as home safety review, dementia screening, consolidation of specialists
and other services. To prevent two overlapping visits, we address all
components at that time and schedule a longer time slot for the visit.
Does my insurance pay for this test?
We will do our best to verify coverage for any procedure we perform
in our office. However, each outside facility you utilize is responsible
for providing you with an estimated cost of care for services it
provides. We are not informed of the contract the outside facility has
with your insurance company and so cannot provide you with that
information. If you disagree with a bill for services we provided, you
can discuss this with our billing staff. If the bill is from another
provider, we can furnish you a copy of your chart note so you can
submit an appeal to your insurance provider for medical necessity.
Who can I talk to about my insurance/billing?
Ask for the billing supervisor when you call, or press option 2 to be
connected to him or her.
Why do you ask for payment before I even see the doctor?
At checkout, there will be a lot of activity involved in coordinating
your care and we do not wish to detract from that. Payment must be
collected in advance to ensure service can still be provided.
Why is the charge for seeing the Nurse Practitioner the same as
for seeing the doctor?
The charge for an office visit includes the cost of staff involved in all
stages of your care, from the receptionist to the provide, as well as the
cost of equipment and supplies used to care for you. The Nurse
Practitioners are highly qualified medical providers able to diagnosis,
treat, and prescribe. They are different from nurses. A doctor also
reviews and signs all chart notes so a doctor is always involved in your
medical care.
Why did I get a bill after my physical when my insurance
covers physicals at 100%?
Many insurances will cover a physical at 100%. However, if during
that visit you receive another service that is not considered preventive
care by your insurance company, you will be billed per your insurance
guidelines. Other services may include significant review of labs and
medication changes or procedures like lesion removal etc.

Can I still be seen if I have no insurance?
We will no longer see uninsured patients. We hope you will consider
getting an insurance we are in network with. This will enable us to
continue providing you the primary care services we have helped you
with so far.
My insurance has changed and now I have Medicaid. Can I
still come here?
No, our Medicaid adult panel is closed.
Why did I get a collections letter?
Significant costs are associated with providing your care. While it
would be great not to have to charge for our services, it is not practical.
The billing department makes every effort to contact you for payment
and make reasonable arrangements for payment. When this fails, we
transfer your billing account to an external collections agency.
Contacting the billing staff in a timely manner will prevent this.
REFILLS/MEDICATION
Why can’t I get refills for a year ?
Patients with a history of non-compliance with their care plan cannot
be given refills for an extended time. This places your health at risk
due to the lack of monitoring. Enough refills are provided to last you
until your next appointment.
Can I get a copy of my prescriptions?
We do not print prescriptions. We only write prescriptions for Class II
controlled substances.
Why do you have to send prescriptions electronically?
There is a national initiative for electronic record keeping and
prescribing to promote patient safety. Eventually every physician,
medical facility, and pharmacy will be expected to comply. A few
pharmacies may still not have all their staff on board with electronic
prescribing. If you have any problems getting your prescription filled,
please advise your pharmacy that your doctor’s office sends
prescriptions electronically, not by fax. Controlled substance
prescriptions are still faxed.

Why does it take several days to get my medication?
If at the pharmacy, your medication is denied by your insurance
company, the prescription is returned to us to file a request for
authorization on the medication. If the provider changes the
medication, our office will notify your pharmacy within 24 hours from
when we received the denial. If the provider decides to file the request
with your insurance company, it will take a few days. Most
authorization requests are handled within 3 business days; however,
some insurance companies take longer to respond. You can call and
press Option 3 for “Refills” to get an update. You can also receive
messages via the Patient Portal. For controlled medications, please
allow 3 business days for medications to be sent to the pharmacy.
Do you have medications on site?
We are able to dispense some acute care medications that will save you
a trip to the pharmacy. We are working with your insurance plans to
be able to dispense your generic medications at your office visit. Please
bring your pharmacy card to your appointments.
RESULTS
Can you fax or mail me a copy of my results?
We do not mail results.We will gladly email you a copy of your results
once they are reviewed. If you register for the Patient Portal, you will
get your results as soon as they are reviewed by the provider.

Medical
Suites
designed
with the
comfort
Healthca
re for all
ages

Can I pick up some of my medical records?
Yes. If you are requesting your medical record there will be a charge of
$6.50. Your medical records will be copied onto a CD.
Why do I get multiple calls for test results?
To provide you with the fastest response on your test results, we will call
you as soon as they are reviewed. However, test results are returned to
the office at different times. The best way to reduce the number of calls is
to sign up for the Patient Portal.
REFERRALS
Can I choose the doctor I am referred to?
Depending on your insurance, you may be able to self-refer to certain
specialists.
Can I schedule my own referral appointment?
In most cases, yes. Please use the referral slip we hand you at checkout.
How fast are referrals
sent to specialists?
For most insurances, we send
our referrals after your visit. If
your insurance plan requires a
pre-authorization, it takes longer.
Some plans take up to 14 days to
clear authorizations.
Why do I have to look up the
specialist’s information?
We maintain a list of specialists that we
refer you to, based on your
insurance plan and our
experience with their offices.
If you do not wish to see the
specialist we recommend, you
will need to provide us with the
contact information for an
alternative person.

HOSPITALS
Which hospital does the doctor use?
Dr. Wilson is on Staff at the Seven Rivers Regional Medical Center. She
maintains an open access relationship with Drs. Desaraju and
Kompella, who are our hospitalists. These doctors do not keep office
hours and so are available to our patients in a more consistent manner
when hospitalized. Dr. Wilson also maintains privileges at Citrus
Memorial hospital and has data access to many area hospitals. You are
free to choose which hospital you use. However, we recommend Seven
Rivers for hospital-based services. If you go elsewhere, please inform
our staff. We will then attempt to retrieve the appropriate information.
I went to the Emergency Room. Do I need to come in?
Seven Rivers keeps us informed of your emergency room visits. If
follow-up is needed with us, they will advise you to do so. If you go to
a different emergency room, please call us to schedule follow-up based
on their recommendations.
Which Nursing Home do you recommend?
At this time our providers are not affiliated with any nursing homes.

GreaterAccess And
More Control Over Your Health
The Patient Portal is an innovative and convenient way of giving you
greater access to us and more control over your health information.
You can spend more time sitting at home and less time filling out
forms in the office.
You can use your Portal to:
• Update your contact and insurance information.
• Request appointments.
• Request refills.
• Receive result notifications.
• Receive reminders about your appointments.
• Ask a question of providers and nurses in office.
• Pay bills online.
• Prepare for your visit by completing the forms we need.
• Maintain your Personal Health Record.
• Activate an Emergency Responder card so doctors and
hospitals can access your personal health record in case
of an emergency.
We hope you enjoy the convenience of communicating with us at your
own pace! To get started, you will be sent an email invitation titled
"Activate your IM & P Wellness Center FollowMyHealth Patient
Portal Account" from noreply@followmyhealth.com. Please add this
address to your safe email list. In the email will be a link that says
“Click Here” which will take you to our new Patient Portal to activate
your account.
Click the activation link you will be taken to the Portal login screen
where you can set up your account.
Create a username for your portal account. By default, this will be
your email address. Next, create a password following the criteria
noted on the right of the screen. Confirm your password to continue.
Connect your account. Follow the on-screen prompts to complete your
account connection. These screens include accepting FollowMyHealth
Terms of Service, entering your Invite Code [the last four digits of your
social security number/year of birth or unique number provided by

clinic] and accepting the release of information.
Our Portal uses secure encryption algorithms and multiple layers of
security to safeguard your information. You will need an account to
access your information.
Please do not share your user name and password with anyone
including our office.
If you have any questions during the registration process, please
contact support at 888-670-9775 or support@followmyhealth.com
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Preparing for Your Visits
Weight Management
A. Initial Visit
Your initial visit will consist of a complete history and physical exam
to assess your mental and physical status before starting the program.
Labs required: Complete blood count (cbc). Comprehensive metabolic
panel (cmp). Lipid Panel Thyroid function Tsh w/ Reflex to T4 (within
the past month). 12–lead (within the last 3 months).
B. Week One
Your Week One Appointment will include a Resting Metabolic Rate
(RMR) analysis. You are advised to complete the RMR sheet prior to
your appointment. Please remember to fast for 4 hours prior to this
appointment.
C. Follow-up Visits
1. Clinic hours are from 10 am to 6 pm.
2. Weekly: When you come in for
weight-loss clinic you will
check in with the receptionist.
3. You will be given a Products
Order form.
4. Once you complete it, return the
form to the receptionist.
5. Product payment will be due then.
6. You may then have a seat in
the waiting room.
Pediatric Physicals
Visit our website at: impwellnesscenter.com/pediatrics to
complete Development Screening using the Chadis
button. Review information on age-appropriate vaccines.
Assess your child’s Dental Risk and complete consent
forms for fluoride application.
7. The Medical Assistant will
call you in to obtain your
weight, B/P and pulse.
8. If you are due for any lab
work or a visit with your
physician, the Medical
Assistant will take you to the
exam room or draw your lab.
9. You will then proceed to
check out after your visit
where your products will be
waiting for you.
Adult Physicals and Wellness
Visit our website at: impwellnesscenter.com/adults. You will find a
wellness report for males or females. Complete as best you can and
submit or bring the report to your appointment.
Follow-Up
Bring medication bottles. We need to know the name, strength, how
you are taking medications and how many refills you have. We also
need OTC and natural supplements used. A record of home blood
sugars and blood pressures are also needed. Home blood pressure
machines should be brought in at least once per year to be checked for
concordance with our machine. Make a list of things you need to
discuss with the provider and present to the Nurse or MA.

A Day at the Office
Planning Your Arrival
In anticipation of your arrival, a
medical assistant reviews your chart,
looking for labs procedure or
consults your provider ordered but
we did not receive. You may receive
a call concerning these. Please help
us by contacting the appropriate
parties.
1
On your arrival, please sign in at the counter.
2
The receptionist will
provide you with an electronic Phreesia Pad that allows you to verify
your demographic information, such as your name, address, insurance,
and email.
It is IMPORTANT that you utilize the facilities we
recommend as this streamlines the communication process
and ensures the best outcome for you. Some procedures or
vaccines that are due will be scheduled for the same day of
your visit, you will receive a call to advise you of this.
We make every effort to schedule procedures at the intervals
recommended by Medicare or other insurance carriers. We are
better able to do this when you provide us with accurate information on
where and what you had done.
If you have an outstanding
balance, this can be paid at the
desk with a credit card or using
the electronic Phreesia Pad. You
will be informed of the
anticipated charges for your
visit. Payment is due at this time.
If you are unable to make
payment, we will ask you to
discuss this with the billing staff
in the back office. Questions
about coverage or charges should
be directed to the billing
receptionist.

Waiting Areas After Check-in
After finding the appropriate waiting area, you will be
called either by the Medical Assistant performing
procedures/labs or to be triaged.
Well Adult Room
Far Right (North) of the Front Desk
4
3Well Child
Room
Far left (South)
of the Front
Sick Room
Facing Front Desk

4Procedures & Vaccines
Procedures and vaccines are scheduled
according to our standard protocol.
Usually, no more than 2 vaccines are
given per adult and 4 per child. If you
have a simple cold, you can still receive
a vaccine.
Patients on steroids, chemotherapy,
immunosuppresants or those exposed to
someone with these will need to discuss
vaccines with the provider. After your
procedure, you will be returned to the
appropriate waiting room or seated inside
for a provider.
Triage
In triage, the medical assistant or nurse
needs to update specific clinical
information. They do not need to know
the detailed history of your illness. That
5information can be saved for the provider.
Please provide the main reason for your
visit, especially if you have a fever, cough,
chest pain, shortness of breath, are frequently
urinating or may be pregnant. Your
medication list must be reviewed in
detail, including the name, strength and
quantity of each medication.
Requests for refills are made here,
but will be verified by the
provider and sent by the provider.
Please inform the assistant at this
point of any new diagnosis,
procedure, surgery, allergy, hospital or
rehab stay since your last visit. This helps
them to better prepare your chart for the
provider while you wait.

6
7
Provider Interview
You will usually be seen by the provider
you are scheduled with. On occasion,
one provider may have an opening
while another is running behind. You
may then be asked to see someone else.
You do not have to change to the other
provider, but we do appreciate your
doing this as it helps us get through a
busy day.
All providers follow the same national standards of care for the chronic
diseases we manage. Where there are shades of gray, Dr. Wilson has
protocols that are followed in our office by all providers.
The provider’s goal is to assess your clinical needs, review procedure
results and make recommendations to facilitate the best outcomes for
your health in 15 minutes. These recommendations will be based on
consideration of the scientific data that exists your risk factors
including existing disease and family history and your mental,
emotional and financial ability to execute the plan.
Procedures
Sometimes a procedure is ordered after you have seen
the provider. Please return to the front desk billing
receptionist and she will then put you on the schedule
to have the procedure done the same day to save
you a trip. She will also verify your coverage and
the costs associated with the procedure ordered.

8
At checkout, you will receive printed
educational handouts or have them sent to
your Portal account. You will receive
printed orders for procedures.
9
Checkout
Laboratory orders are printed. We also
send those electronically to Quest or
Labcorp depending on your insurance.
Prescriptions are sent electronically to your
local and or mail order pharmacy. Follow-up
appointments are scheduled at this point.
Clinical Summary
Within 3 business days of
your appointment, you will
receive a clinical summary of
your office visit in your Portal
account.

Procedures We Recommend
ABP- Ambulatory Blood Pressure.
Done to check patients BP at home
when they have frequent elevations
in the office but report their home BP
is normal.
CAROTID ULTRASOUND
This helps us assess the degree
of blockage in the carotids and
thus helps to assess ones risk for
a stroke.
LEG ULTRASOUND
This is done in patients who
have pain in the legs when
walking, to aid in the diagnosis
of PAD- Peripheral Arterial
Disease.
EKG -Electrocardiogram.
We perform this on all patients
with high blood pressure yearly to
check for heart complications. It is
also performed on patients with
chest pain to assess heart attack
risk, and in the case of palpitations
to check heart rhythm.
NCT-Nerve Conduction Test.
Diabetics are at increased risk
for development of peripheral
neuropathy. This can lead to
increased foot injury. This test
is performed every few years on
diabetics or when there is any
change in sensation in the feet. It
is also used to diagnose Carpal
Tunnel syndrome and various
We also suggest this for those
at high risk for cardiac disease.
Insurance coverage for these
reasons is usually limited: Men over
age 40 and women over age 50 with
high cholesterol, cigarette use and
family history of heart disease.
HOLTER MONITOR
This is essentially a 24 hour EKG. It
gives a more detailed analysis of
heartbeats and rhythms.
ECHO – Echocardiogram.
This is an ultrasound of the heart,
done to assess the valves, heart
muscle and cardiac output. This is
done every 1-2 years depending on
the nature of the heart disease in
patients with valve disorders, heart
failure, heart attacks, stents etc.
radiculopathies.
PFT–Pulmonary Function Test.
Done to assess lung volumes
which help in the diagnosis and
management of patients with
COPD. Most patients will have
this done yearly or with major
changes in treatment. Smokers
with symptoms should have this
done to assess for COPD.

RMR – Resting Metabolic Rate.
This device measures your oxygen
consumption and calculates the
amount of calories you consumed
while sitting. This will give the
most accurate measure of your
daily caloric needs. Critical to
weight control.
FOB- Fecal Occult Blood.
This is done yearly on
everyone over age 50 to aid
with early diagnosis of
colon cancer. It detects blood
that is invisible to the eye.
FLOURIDE APPLICATION
The fluoride content in our
county water is not sufficient to
reduce cavities, especially in
those who use well water.
Children who do not have a
regular dentist can receive topical
fluoride every 3-6 months to
protect their teeth.
STREP TEST
For patients with sore throat and
exposure to children. Done
to reduce risk of cardiac
complications that
come from untreated
strep throat.
RSV – Respiratory Syncitial
Virus Infection.
This infection in children under 3
years old is common in the late
fall through winter. It is viral
and a positive result can prevent
unnecessary antibiotic use.
FLU
Influenza is
treated with
antiviral
medication not
antibiotics. This
tests helps us choose
the correct medication
and minimize the unnecessary
use of antibiotics.
UA – Urinalysis.
Done in office to detect bladder
infections and stones.
EAR WASH
Performed to
remove wax
from the ears.
We suggest
using Debrox
(2 drops
three times
daily for 4
days). This
sometimes
makes the
procedure
unnecessary.
ALLERGY TEST/
SHOTS
We offer skin scratch testing
with the appropriate
desensitization treatments.