Timothy A Rogge MD direct line 425-647-1774 Office line 425-647-1225 FAX 425-861-1085
Electronic communication of prescription information and refill authorization included in Schedules 2- 5 must be electronically communicated to a pharmacy of the patient’s choice.
Submit the following: Pharmacy name and address.
For controlled substance refill, for up to 3 months ( maximum) will be authorized during your appointment.
Every 3 months interval renewal appointments is still strictly required before refill is authorized for all medications. All requests must originate from your pharmacy.
NO SHOW $100
Late cancel $75 * * Unique circumstance discuss with your provider OLDER than 6 months balance. Required to sign up to “auto” bill for regular minimum payment. Provide your credit card information.
Medical Records Request
We share treatment summary with other providers you are currently in treatment with.
Please fax requests to 425- 861- 1085
For other requests, we require:
1. Prepaid fee equivalent to our usual and customary fee for the number of hours spent in fulfilling the request.
2. Subject to our availability in fulfilling your request. Our priority is patient care.