A physician is always on-call for the general internal medicine group and may be reached by calling the main number (517-377-8882) after hours. If you must speak with a physician after hours, you may call the answering service and the doc-on-call will call you back. Several physicians share on-call duty, so you may not be able to contact your specific doctor. If you have an emergency, please call 911 or go immediately to the nearest hospital emergency room. Because of limited access to your charts after business hours, the doc-on-call will generally not provide prescription refills. Instead, please see the procedure outlined below under the "ROUTINE MEDICATION REFILLS" section. It is the policy of the group that narcotic medications will never be called in after hours – such prescriptions must be addressed during normal office hours. 

If you are admitted to the hospital, make sure they know the name of your primary care physician, and you will be assigned to our service. At Ingham Regional Medical Center, we are known as the 'C' Service. At Sparrow Hospital, we work in association with the Sparrow Hospitalist group. Please note, that you may not see your specific doctor in the hospital, unless it is his/her week on the hospital service. Residents, medical students, and interns do work under the supervision of the physicians in the hospital in order to provide round-the-clock care.

You may call the main number and follow the directions to the refill line. Please leave a clear message as to the medication and the dose that you are taking. Our intent is to  provide your prescription as soon as possible, however, due to the large volume of refills called in each day, we suggest that you call at least 2 business days prior to the last remaining full dose of your medicine. Our office will not notify you once the prescription has been called in – please call the pharmacy to determine if your prescription is ready to be picked up.

While narcotic pain medications are often necessary to provide improved quality of life for those with acute or chronic pain, the use of these medications is closely monitored by governmental agencies. Patients requiring these medications may be asked to sign a “Pain Contract” and to follow specific guidelines on the use of these drugs. No narcotic medications will be called in after hours and it may not be possible to replace lost or stolen narcotic medications.

If you are more than 15 minutes late for your appointment, you may be asked to reschedule for another day. We ask that patients cancel appointments at least 24 hours in advance to allow other patients to be scheduled. Recurrent ‘no-shows’ without prior cancellations may be grounds for dismissal from the practice at the discretion of the primary care physician.

Michigan State Adult Medicine accepts most commercial insurance plans. Please check with the receptionists if you have any question about coverage and notify the office immediately if your insurance plan changes. All patients are responsible for payment of co-pays at the time of service.

MSAM utilizes a state of the art electronic system that allows for more accessible and legible medical records for all patients. Wireless computers are used in examination rooms and both nursing staff and doctors will type notes during the interview process. Your medical information will only be accessible to office staff and physicians, and the system is in compliance with federal guidelines as they pertain to patient privacy. This system will allow your physicians to provide faster and more comprehensive care.