Office Policies and Information

  • We answer phones in the office Monday through Friday, 8am to 5pm but see patients before and after our phones are off for the day. The phones are closed from Noon to 1:30pm for lunch each day.
  • After-hours triage calls are available for medical advice. There is a $13.00 phone charge for this call.  In case of an after-hours illness, please call the after-hours triage at 1.866.439.3975.
  • Appointments are always necessary, unless it is an emergency.  We will make every attempt to work you in at the next available appointment.
  • We have our Acute Care Clinic every weekday morning. You can reserve your place in line by texting “treehouse” to 210.960.8404 from 7:30am-9:50am.
  • To cancel or reschedule an appointment, please notify the office with 24 hours advanced notice.  A $30.00 fee will be charged if you cancel with less than 24 hours’ notice or if you do not arrive at all.
  • Our Triage Team is available to guide your medical care in conjunction with your Physician/Nurse Practitioner by phone call. Calls are returned on a first-come, first-served basis and may be returned the next day if received after 3:30 pm.
  • Requests for school, day care, immunization records, etc. require at least 48 hours to be completed and can be requested through our Health Desk.
  • If you need to send in a form to be signed by your provider, you can do so by sending it to  Please make sure the form is completed in its entirety or it will delay it's return.  Please allow 48 hours to have the form completed and returned via Keona Healthdesk.
  • For a prescription refill, please contact your pharmacy.  Please allow 48 hours for our office to respond.
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