General Internal Medicine Group (GIMG) wants to make sure you are kept up-to-date on our policies regarding missed appointments, insurance co-pays and referrals, fees you may encounter that are not covered by insurance, calls with our providers, and more. Read on!

Missed Appointments

Unless cancelled 24 hours in advance, our policy is to charge for missed appointments at the rate of the office visit.

Insurance, Copays and Referrals

Insurance and Co-Pays

While we recognize how confusing insurance coverage policies can be, patients are still responsible for understanding what their insurance plan does and does not cover. We recommend that you contact your insurer prior to any visit or procedure. Co-pay is due at the time of service. List of Participating Insurance Plans

Referrals from GIMG

If after being seen by a GIMG provider, it is determined that you need a referral from us for a specialist, X-rays or other procedure, expect it to take about 5 business days. If the GIMG provider communicates to our office staff that your referral is for an urgent medical condition, we will push you to the top of the list and take care of it immediately. There is a $10 replacement fee for a lost referral, so please keep it close! More…

Referrals to GIMG from Other Physicians

If your visit to GIMG requires a referral, be sure to contact the referring physician’s office; allow plenty of time for them to generate it for you. Bring the referral with you, or your insurance company may not cover your visit! GIMG would then be forced to bill you directly.

Fees for Additional Services

Medical insurers do not cover certain time and resource-consuming tasks such as:

  • Making copies of medical records
  • Phone calls with physicians that serve as a replacement for an in-office visit (i.e., Telephone Visits)
  • Prescription and refill requests done outside of an in-office visit
  • Completion of health forms

We recognize that our patients need these done! We will charge you directly for this work, so we can continue to provide you with the comprehensive care you need.

For a List of Fees for Additional Services please review the OTHER SERVICES section of our Patient Policy Information form.

Completion of Forms

We are happy to complete any forms you have. However, due to the additional time required to complete these forms, there are additional charges as follows.

A forms completion fee applies to all physical forms for adoption, school, employment, sports, camp, travel or other forms. This fee is separate from the office visit fee for the medical provider’s history and examination. Forms completion is not covered by insurance and is payable at the time of service.
Charges for forms completion
PPD (tuberculosis testing) $10.00
PPD and Health Declaration $25.00
Simple Health Declaration $25.00
Complicated Hlth Declaration $35.00
Physical form-school or camp $35.00
DMV form $35.00
Physical- adult-work or other $50.00
Adoption $50.00
  • There is an additional charge for any form that must be notarized.
  • There may be additional charges for unusual or complicated forms.
  • These charges are subject to change without notice.

Calls with Providers


Messages may be left for providers during all regular office hours. Alternatively, we also offer our patients a highly popular Call-in Time from 8:00 – 8:45 AM daily, for quick calls with a provider. For example. to determine if you need to be seen or not, questions regarding a medication or abnormal lab result, etc. This is the only time you can reach a provider directly, as they are typically in with patients the rest of the day. Please understand that our providers’ time is limited — If a quick call (3 minutes or less) turns into a long call, you may be asked to make an appointment or be charged for a Telephone Visit (Please see the OTHER SERVICES section of our Patient Policy Information form for more information).


There is a physician on call for after-hour medical emergencies by simply calling our office at (703) 525-8863 or (703) 573-9800 and following the instructions. Please be respectful of our physicians’ time taking call from home; call only for emergencies!

Life-threatening emergencies should call 911 or go to the nearest emergency room.

Policy for Health Record Retention and Destruction

General Internal Medicine complies with the Virginia State Laws and all applicable Federal law regarding retention of patient records. All patient records are kept at least six years following the last patient encounter, unless one of the Virginia Law exceptions applies (for example, the records of minors may have to be kept longer than 6 years, depending on the patient’s age and last date of treatment).

Paper records are destroyed in a manner that fully protects patient confidentiality. They are incinerated. Electronic records may be destroyed by methods that make them completely irretrievable, unreadable or by destruction of the storage media