We are honored that you have chosen us as your healthcare provider. Our goal is to provide the highest quality care for all of our patients in a timely and respectful manner. Please take time to read our office policies.



  • We will do our best to provide you with the same-day office-visits and accept walk-ins for first available slots for all sick visits.
  • We ask you that you allow plenty of time to get to the office for your appointment. You may be asked to reschedule your appointment if you are more than 15 minutes late. We will strive to stay on time. From time to time, a patient emergency may arise and we may be running late for your visit. You will have the option to re-schedule or stay to be seen and we will keep you informed of how long a delay you may experience.
  • We understand that appointments sometimes need to be changed, so we advise that you call 1 day in advance if you cannot keep your scheduled appointment. Our office will call and confirm your appointment the day before.
  • Two (2) no-show appointments may result in dismissal from our practice, so please inform our office beforehand if you are unable to keep your appointment.
  • You will need to bring your insurance card and a photo ID with you for each appointment
  • If you are unable to provide us with your insurance card, your appointment will need to be rescheduled
  • If you do not have medical insurance then our staff can give you information on ways to obtain one.
  • Please let our staff know if you have any information changes since your last appointment.
  • You will be asked to fill out new registration forms annually so we may update your information.
  • All co-pays and past due balances are expected at the time of service, unless a prior agreement has been made with our billing department.
  • Our office will charge for the completion of the following forms as the medical insurance does not cover them and our physicians spend considerable amount of time and effort to complete them:
    1. Pediatric forms:School, Sports, Camp, Daycare, Early intervention, Working permit: $5.00
    2. IRS letters, Proof of residence for food stamps, Social Security forms: $15.00
    3. Adult Physical forms: $20.00
    4. Family leave forms: $25.00
    5. Disability forms: $150.00
    6. WIC forms, 504 and MAF: FREE
    7. Immigration: $180.00
For the safety and well-being of our patients, we have have established the following guidelines for dispensing medications:
  • Please bring all your prescription and over-the-counter medications with you at each each visit. You may bring in the latest list of medications if you have one.
  • Hillside Polymedic does not offer chronic pain management and will not dispense chronic pain medication(for example, chronic daily narcotics). We will provide you with a referral to a pain management center if you need this specialized form of care after evaluation by our physicians.
  • If you are on medication that require refills for a chronic disease(for example, high blood pressure or diabetes), you will be given ample refills for 30 or 90 days at a time during your office visit.
    • When you are down to a 30-day supply of medication, we ask that you call and schedule your follow-up office visit in order to be evaluated and have your medications adjusted or refilled. We ask that you allow enough time for us to make an appointment so you are not without your medication
  • Request for new medications (including antibiotics) will not be taken over the phone or over the patient portal without an appointment and evaluation by our physician.
  • We understand that unexpected situations arise, thus a small refill of a chronic medication will be granted for one or two days after office hours on an as-needed basis determined by the on-call physician. This allow patients to be seen and evaluated by the physician during office hours for all their medication refills.