Patient Instructions

If you are scheduled for a procedure then follow these reminder instructions:

Initial Consult Instructions

If you have an appointment for an initial consultation, please be sure to fill out our intake questionnaire and other paper work in advance of you appointment. You should receive these forms in the mail several days prior to your appointment. If you do not receive these forms, please call our office so that we may get them out to you. If we are unable to get these forms to you before your appointment, please come 30 minutes earlier than the requested time, as it takes quite a while to complete all of the forms. Also, please be sure and bring the latest copy of your insurance card and your driver’s license or some other governmental identification with you.

Please be sure and bring your most recent radiographic films (X-Rays, MRI, CT) with you. We have no way to get these films. We ask that you stop by the facility where the studies were performed and sign them out yourself. Many facilities no longer routinely print the films; instead they will give you the pictures on a CD. However, if specifically requested, often time they will print the actual films. We ask that you make this request.

Please bring all of your current medications with you. An accurate, up to date, list of medications is acceptable, however, experience has shown us that simply placing all of your medicine bottles into a bag and bringing them in is the easiest, most complete, and accurate thing to do.

Please do not anticipate a procedure on the day of your initial consultation. The initial visit is for evaluation only. If you and we decide that you may benefit from an interventional procedure then this will be scheduled for a future visit.

If you are scheduled for a procedure

You must have an adult accompany you to drive you home after the procedure and to stay with you as needed. Other arrangements may be made, but in all cases, you will need a driver.

For your safety and to help avoid nausea, please have no solid foods for four (4) hours before and no liquids for one hour before your procedure. However, you may take your usual medicines, including pain medicine, with a sip of water, as you would routinely take them.

If you are taking blood thinners please be sure to let your clinical provider and our staff know this. It is necessary for you to stop your blood thinners in advance of having a procedure. For your safety, we ask that you contact the physician who is prescribing this medication for you and check with him or her to be sure it is safe for you to discontinue this several days prior to your procedure. Patients who are on Coumadin are of particular concern. It is almost always safe to discontinue this medicine for a short while to allow your bleeding time to go back to normal, however, this should be cleared with the prescribing physician. We will need to have you get your bleeding time checked prior to any procedure if you are taking coumadin. Blood thinners such as Plavix, Ticlid, aspirin, and medicines related to ibuprofen (e.g. Advil) may be safely stopped seven (7) days prior to your procedure without getting a blood test. But, again, check with your prescribing doctor to be sure it is safe. If the only blood thinner you take is one regular aspirin a day, then we ask that you change this to one baby aspirin a day for at least seven (7) days before your procedure. Typically you should resume your usual blood thinners the evening after your procedure, but check with your doctor here at PMA to be sure this is what he or she wishes you to do.

Click here for a list of blood thinners. This is not a complete list.

If you are a diabetic and you are scheduled for a procedure in the morning, take only half of your usual insulin dose. If you use oral diabetic medicines, do not take any of these. We ask you to do this so that your sugar level does not go too low, since you will not be eating.

Please wear loose fitting clothing; sweat pants and shirts are perfectly acceptable.

Follow-up Visits

If we are prescribing controlled medications for you, e.g. narcotic pain pills, or a medication in the same class as valium, then you must bring these medications with you at every and any visit with any of the providers here at PMA. If you do not do this, we may not be able to renew any of these prescriptions.

If you are a PMA patient and you are having a problem

If you believe you are experiencing a medical emergency, then please call 911 or have someone transport you to the nearest emergency room. If the emergency room doctor feels he or she needs to contact us then they will have the means to do so.

If your problem is not an emergency, during business hours or after hours, please call our office. Unfortunately we do not have enough personnel to allow a human to answer the high volume of calls we receive. Therefore, we ask that you leave a message on the nurse’s message line. The messages are reviewed throughout the day. These are passed on to your provider (doctor, nurse practitioner, or physician’s assistant). They will act on the message and either they or one of our staff will get back to you. We try our best to accomplish this in a timely fashion.


If you or your physician feel that you may benefit from a referral to our clinic, please have his/her office make the appointment for you, or you may call us at (423) 232-6120


Policies and Notices

You may also review your patient rights and responsibilities, our patient medication policy, our patient privacy notice, and our patient informed consent form by selecting the appropriate link below.