All Your Wellness Sources Provider Group participate in electronic prescribing directly to your local and mail order pharmacies. Our goal is to assist patients with prescription requests in an efficient manner. In order to process your request as quickly as possible, please see the details of our prescription policy.
Prescription refills require close monitoring by your nurse practitioner to ensure the safe continuation of the appropriate dose, frequency, and term of that medication. Your provider will prescribe the appropriate number of prescription refills to last you until your next scheduled appointment.
In the event you missed your scheduled appointment, it is the patient’s responsibility to schedule your next appointment in advance of having less than two weeks supply of medication in order to receive a prescription refill.
As prescriptions are prescribed with the number of refills needed until the next appointment, almost all requests for prescription refills between regularly scheduled appointments will require an appointment prior to authorization. The clinician will review the request from the pharmacy, as well as the patient’s medical record, to determine appointment needs. The staff will contact the patient to schedule such an appointment, if necessary.
In the event that you require an emergency refill, first you should contact your pharmacy and have the pharmacist send a prescription refill request electronically to the office. If approved by your provider, an appropriate refill will be submitted to your local pharmacy. If your prescription refill is not approved, please contact your provider’s office to schedule an appointment.
Patients requesting new prescriptions or antibiotics must be seen for an appointment by a clinician. They are not prescribed over the phone.
Maintaining current pharmacy information is the responsibility of the patient. Please confirm with our practice that your correct local pharmacy address and phone number or mail order pharmacy information is on file. Prescription refill requests will be submitted electronically to your pharmacy. Your local pharmacy will contact you when your prescription is ready.
Our practice will always order generic prescriptions whenever available unless brand is medically necessary. Each insurance plan outlines a detailed classification for medications which could impact which medication, generic or brand, is prescribed and the cost to you. Contact your insurance plan for details.
Our providers participate in the Maryland Prescription Drug Monitoring Program Crisp.
Please allow 48–72 hours to process prescription requests. Medications requiring pre-authorization may require additional time to process. Please plan ahead for refills during holidays and when traveling.
At Your Wellness Sources, we are committed to providing exceptional care and service to all our patients. To ensure that we can serve as many patients as possible and make the most of available appointment slots, we have implemented a policy regarding "No Shows" and "Late Cancellations" for appointments.
No Show Policy:
A "No Show" is defined as a patient who does not attend a scheduled appointment and does not provide any advance notice to cancel or reschedule.
The fee for a "No Show" appointment is $75 for Behavioral Health Appointments and $50 for Primary Care Appointments.
Patients will be billed these fees for failing to attend their scheduled appointments without notice.
Late Cancellation Policy:
A "Late Cancellation" is defined as a patient canceling an appointment with less than 24 hours' notice during our regular business hours before the scheduled appointment time.
The fee for a "Late Cancellation" is $75 for Behavioral Health Appointments and $50 for Primary Care Appointments.
Patients will be billed these fees for canceling an appointment with less than 24 hours' notice during our regular business hours.
The fees for "No Shows" and "Late Cancellations" will be billed to the patient.
These fees are not covered by insurance and are the responsibility of the patient.
How to Avoid No Show and Late Cancellation Fees:
To avoid these fees, please notify us at least 24 hours in advance during our regular business hours if you need to cancel or reschedule your appointment.
Why We Have This Policy:
Our aim is to ensure that we can serve as many patients as possible and not waste any valuable opportunities. Many patients seek appointments with us, and we want to make sure that appointment slots are utilized efficiently.
We understand that there may be exceptional circumstances that prevent you from attending your appointment. Please contact our office at (301) 235-0060 as soon as possible to discuss your situation.
We appreciate your understanding and cooperation in adhering to our No Show and Late Cancellation policy. These policies are in place to ensure that all our patients receive the care they need in a timely manner.
If you have any questions or need further information, please do not hesitate to Contact Us at (301) 235-0060.
Thank you for choosing Your Wellness Sources for your healthcare needs.
Send your request to: email@example.com Your healthcare provider will process the following documents:
Military Profile Form
Insurance Disability Form - Primary Care
Insurance Disability Form - Behavioral Helath
Other Forms & Letters (approved by healthcare provider)
Clinical SUmmary Letter
Nexus Letter - Primary Care
Nexus Letter - Behavioral Health
MVA Disability Application Form
1-You MUST provide clear instructions for completing the form or requesting the letter.
Note: Clearly state if the form or letter is for Behavioral Health or Primary Care Services
You MUST complete your personal information or ALL FORM FIELDS that you are REQUIRED to complete before submitting the form to your healthcare provider.
If you are in the clinic, you MAY ASK the clinical staff to scan the form and send it to the email above.
YOUR Healthcare Provider WILL NOT complete the form if there are incomplete sections of the form that you are required to complete
*Note: When the provider completes a form, it is a complete document that is signed, sealed, and sent to the entity or provided to you. There is no revision or addition to the form once the document is signed by your Healthcare Provider.