Our answers to your questions.
New patients, and even established patients, often have a number of similar questions about policies and procedures for their care. If your question is not addressed here, do not hesitate to contact us for additional information.
When does the clinic see patients?
Dr. Gazda and Dr. Ales maintain regular business hours, typically Monday through Thursday from 8 a.m. to 4:00 p.m. and on Friday from 8 a.m. to 12 noon, with after-hours emergency calls handled through our answering service.
How do I make an appointment?
If your insurance does not require a specialist referral from a primary physician, you may simply call our offices (210-692-1245) to arrange for an appointment. If you do need a referral please contact your primary care doctor for details.
What if I have to change an appointment?
While we understand that unexpected events do happen, we ask that whenever possible you provide 48 hours notice for an appointment cancellation or change so that we can continue to give all of our patients the maximum amount of time and attention at their appointments.
How do I obtain refills on my prescriptions?
Calling your pharmacy is usually the best method to obtain refills on your prescriptions. If needed, they will contact our office for approval. You may also call our staff for assistance. Please allow at least 24 hours or one business day for refill approvals. Refill requests should always occur during business hours. If you have not seen the physician in over a year, a visit will be required to optimize safety.
What should I know about insurance issues?
Our office participates with most major insurance providers in the region. If we participate with your plan, we will file the claim for you and wait for payment. However, co-payment is due at the time of your visit. Proof of insurance and photo ID are required at the first visit. If we do not participate in your plan, we will provide you with a claim form to submit to your provider for reimbursement. Uninsured patients are welcome, yet will need to pay a deposit prior to their visit and full payment will be required on the day services are rendered. Payment can be made by cash, check or credit card.
Insurance guidelines can be confusing, often referrals are required before visits to labs, physical therapists and similar. We encourage you to make yourself familiar with your plan’s regulations, for management of medical reimbursement is ultimately your responsibility.


