A Virtual Visit is a phone or email consult regarding a relatively simple problem or issue.  Please read the information below.  You can then schedule a virtual visit by following the instructions at the bottom of this page.

What kind of problems are appropriate for a Virtual Visit?

Appropriate e-mail and phone appointments might include:

  • review and discussion of lab work you had done through a screening program or as monitoring of a chronic condition
  • review and treatment for a simple infection such as a bladder or vaginal infection that you think is the same as one you have had previously
  • you have tweaked your back and want to know what the first steps in managing it are
  • you have a cold and are not sure what medications or treatments would be best to use for your symptoms
  • discussion on changing a medication dosage or changing to a generic
  • you would like Carla to explain something medical that you were told by another provider
  • general medical guidance that does not require face-to-face interaction or evaluation.

Who can ask for a Virtual Visit?

Only patients with whom there is a previously established relationship should request this service.  


What do Virtual Visits cost?

The fee is based on time spent and the recommended regional insurance allowable fees.  Online email visits should be limited to no more than a total of 2 back and forth emails at most.  If more back and forth emails are required or the issue is complex and requires quite a bit of explanation, you will be asked to come in for a visit.

If during either a phone or email visit,  we determine your issue requires an office appointment, your charge for the Virtual Visit will be waived.  Sometimes, the Virtual Visit is so simple or short, that you will not be charged. The general guideline for waiving the charge is when a visit  involves less than 5 minutes of time and meets the standard insurance coding criteria for low risk decision-making.  

CPT Code                             
    98966 Telephone discussion....  5-10 min    
Fee:  $3/minute
    98967 Telephone discussion... 11-20 min Fee:  $3/minute
    98968 Telephone discussion... 21-30 min Fee:  $3/minute
    99444 Online Email Visit Fee:  $45

Does insurance cover these visits?

Some insurance plans are beginning to cover these visits.  You are responsible for understanding your particular insurance plan. You should call your insurance company and ask if they reimburse for email visits or telephone visits.  Ask if the co-pay applies or if you have to meet the deductible first.  It might be helpful to have the CPT codes listed above when you call. One insurance company also wanted to know the diagnosis code- unfortunately, the diagnosis code is not selected until the visit is completed and the diagnosis is made.

Please note:  if you indicate that your insurance will cover the visit and a claim should be filed rather than paying at the time of service, we will do so. However, if the claim is denied as a non-covered benefit, you will be charged an additional $5 to cover the cost of claim submission for the visit.  Standard financial policies also apply to accounts that are not paid in a timely manner.

How do I set up a Virtual Visit?




To set up a phone visit, there are two steps. Please complete BOTH steps: 
  1. Schedule using the online appointment system. In the reason for the visit, be sure to write in PHONE VISIT.  Choose a 15 minute visit type regardless of how long you think it will take.  No phone visit should take longer than 30 minutes (the 15 minute visit allows up to 30 minutes of time).   Usually Carla will call at the appointed time but please give her up to 15 minutes lee-way.
  2. Complete the visit form here.  The form will open in a new window. Carla will not call if you have not completed the visit form first.





To set up an email visit, simply click here to complete a visit formThe form will open in a new window. Carla responds to email visits as soon as possible but it may take up to 8 hours (during business hours).  Email visits often require you to reply to a question or two.  It is best if you can be as detailed as possible on the visit form so Carla has all the information she needs to respond to you.  If you don't hear back by email within 1 business day, please call or email to make sure your request was received (all technology sometimes fails!).