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Patient Info

Office Hours

All offices are open Monday through Friday from 8:00 am to 4:30 pm.

A physician is on call 24 hours a day for emergencies. If you have an emergency, please call our office at (804) 484-3700. If your call is after hours, our answering service will page the doctor on call.


Appointments are made by completing the Schedule an Appointment form or by calling (804) 484-3700.  For Medical Skin Solutions, call (804) 484-3739.

Patients are seen by appointment only. Patients with emergent problems will be seen on a priority basis. If you have an emergency situation, please let us know when you call the office.

Be sure to bring your insurance card, referral (if required) and your co-pay to every appointment.If you are unable to keep a scheduled appointment, please notify us as soon as possible, but not less than 24 hours in advance of the appointment. There is a $25.00 charge if a patient misses an appointment and fails to notify the practice in advance.


What is a referral?

A referral is authorization from the patient’s Primary Care Physician (PCP) for the patient to see a specialist. A PCP is a Family Doctor, Internist, or Pediatrician.

How do I know if I need a referral?

You only need a referral if your insurance company requires you to have one. The best way to know for sure is to contact your insurance company. The phone number is on your insurance card. Some insurance cards state on the card whether or not you need a referral. If you are not sure, contact your insurance company before your appointment.

How do I get a referral?

You need to contact your PCP and tell them that you need a referral for your visit.

How does my referral get from my PCP to the specialist?

You can have your PCP fax the referral to (804) 272-6900, but the best way to be sure that we get it is to pick it up from your PCP’s office and bring it with you to your appointment. That way you eliminate the chance of it not being here when you arrive.

What happens if I don’t have a referral the day of my appointment?

Unfortunately, if your insurance company requires a referral and you don’t have one, they will not pay the claim for your visit and you will be responsible for the bill at the time of service. Therefore, we can not see the patient without a referral.

Do I have to get a referral every time that I see the specialist?

Each referral has an expiration date. If you need to come back to the specialist after the expiration date has past, you need another referral from your PCP. Also, some referrals have a limited number of visits allowed. For example the referral may be good for 1 year, but only allow 3 visits; therefore, if you need to see the specialist a 4th time, you will need another referral from your PCP.

Insurance and Billing

View our Financial Policies Form for more information.

We participate with most major insurance plans. Currently these plans include Aetna, Anthem Blue Cross/Blue Shield (including Healthkeepers), Medicare, Medicaid, Optima, Southern Health, Cigna, United Healthcare, and Virginia Premier. If you have questions regarding our participation with your insurance carrier please contact our office directly or you may contact your insurance carrier. Patients should bring their insurance cards to every visit. As a service to you, our staff will be happy to file your insurance claims if we have complete and accurate insurance information.

Please understand that it is the patient’s responsibility to be fully aware of all the provisions of his or her insurance policy. We suggest you pay special attention to your policy’s provisions regarding the need for a referral, your audiology (hearing test) benefits, and the need for a second surgical opinion. In addition, some policies have a waiting period for pre-existing conditions. All co-payments are expected to be made upon arrival for your appointment.

If you would like to make a payment on your account and/or you have questions about your account, please contact our Business Office directly at (804) 484-3700 ext. 2224.

CareCredit® Special Financing Available

Virginia Ear, Nose & Throat Associates and Total Hearing Care are pleased to announce that we accept CareCredit, the leader in patient financing. The CareCredit card works just like a regular credit card, but it is exclusively for healthcare procedures not commonly covered by insurance, including cosmetic or reconstructive procedures and audiology services such as hearing aids. The program offers flexible payment plan options.

There are several ways to apply for this program:

  • Complete an application in our office (two forms of identification are required).
  • Apply online using this application.
  • Apply over the phone at 1-800-365-8295.

We offer plans for every budget, so please contact our Business Office at 484-3702 to discuss an option that fits your needs.

Notice of Privacy Practices

Click here to read our Notice of Privacy Practices.

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