As of 1/1/2019, please be advised of some changes to our policy on patient referrals to specialists: First, we ask that every patient have at least one visit per calendar year with us prior to seeing a specialist. Second, before pursuing specialty care for a problem, we ask that you see one of our skilled providers first. Most times, we are able to evaluate, diagnose, and manage the problem in one visit. However, we also are very cognizant of our limitations and will not hesi