Will my lab work be covered by my insurance?

We cannot guarantee insurance coverage.  We do however submit all routine testing through Quest Diagnostics or Laboratory Corp. of America depending on who your insurance prefers.  We also order tests that require specific laboratories that may or may not contract with your insurance company.  These require specific laboratories that may or may NOT contract with your insurance company.  Once these samples are received by the specific labs you will receive a receipt to submit to your insurance.

AM I REQUIRED TO HAVE MY BLOOD DRAWN AT YOUR OFFICE?

We draw blood at our office as a courtesy to our patients, but it is not required that you have it done here.  However, If you have it done at another lab or by another Doctor you must make sure the results are sent to us.

WILL YOU CALL ME WHEN MY LABS COME IN?

Laboratory results are complicated and comprehensive and require the doctor to review them with you. This will be done at your next appointment.

HOW DO I GET MY LAB RESULTS?

Lab results are discussed with you at your followup appointment. This is the best time to receive results as the Doctor is there to answer any questions you may have.  If you require copies of your lab results you would request this through our medical records department.  For verbal results you would request a call from the nursing department as the lab staff is NOT allowed to give out results.

CAN I HAVE MY PRIMARY DOCTOR ORDER THE LABS?

If you have your primary doctor rewrite the lab scripts, he/she then becomes the ordering physician. It is your responsibility to make sure we receive copies of those labs. Laboratories, whether hospital or private, will only release lab results to the ordering physician. Please do not call to see if your labs are back. You can call your primary MD, have them send you a copy of the labs and then bring them with you to your appointment.

HOW SOON SHOULD I CALL WHEN I NEED A MEDICATION REFILL?

Due to the high volume of medication requests that we receive, we require 7 business days to process these requests. Medication refill requests should go to your pharmacy and they can fax a form to us at 845-758-0022. Please contact the pharmacy when you are down to 7 days worth of medication.

  • If using a compounding pharmacy, please start the refill process 10-14 days prior to your last dose of medication or injection.

WILL YOU CALL ME AFTER THE MEDICATION IS REFILLED?

Please call the pharmacy to see if the medication has been refilled. We will not call you to tell you we have renewed the medication.

WHAT IF MY MEDICATION REQUIRES MONTHLY BLOOD WORK?

If you are on medication that requires monthly monitoring — for example liver function tests every 2 to 4 weeks — it is your responsibility to get the labs done. Please ensure that the laboratory performing the tests forwards the results to us to prevent a lapse in your treatment. We cannot renew your medications without these labs.

Medications requiring monthly monitoring of liver function tests include Diflucan (difluconazole), Sporanox (itraconazole) and Nizoral, (ketoconazole). Other medications that require  monitoring of blood work are long term antibiotics and chelators, such as DMSA.

HOW DO I INCREASE THE METHYL B12 INJECTIONS?

If your child is on Methyl B12 injections and is being titrated up to the higher dose, the injection is given every 3 days. After reaching the maintenance dose, continue the injections every 3 days or as directed by the doctor.

WHAT SHOULD I WATCH FOR IF MY CHILD IS ON ANTIFUNGALS?

Antibiotics & antifungals may cause “die-off.”  Watch for irritability, aggression, or other behavioral symptoms. If you suspect a die-off, reduce the dose by half for 4 days. Give activated charcoal, 1 to 2 tabs, 2 to 3 times a day on a empty stomach. Slowly work up  to the full dose of the medicine after 4 or 5 days.

If these interventions don’t work, you should hold the medication until your followup appointment.

WHAT IF MY CHILD MISSES HIS METHYL B12 INJECTION?

Although Methyl B12 injections are an important part of many treatment plans, this is not an emergency medication. There will be no harm done to the child if he misses a few injections.

WHEN I LEAVE A VOICE MESSAGE, WILL I HEAR FROM YOU ON THAT DAY?

We make every effort to return calls as they come in, however, due to the high volume of phone messages we receive every day, non-emergency calls will be prioritized and responded to in a timely fashion, but not necessarily the same day.

Phone messages are reviewed throughout the day and all phone messages are screened on the day they come in. Urgent calls are answered as soon as possible.

**Acute medical emergencies should be directed to your local emergency room.**

HOW SHOULD I PREPARE FOR MY FOLLOWUP APPOINTMENTS?

To get the most out of your time with the doctor, it is best to organize your questions.  Many of our patients prepare a list to review during their visit.  Sample topics include:

  • Dietary issues
  • Supplement intolerance
  • Behavioral notes
  • Medication questions
  • Any other pertinent notes pertinent to the implementation and experience of the treatment plan

WHAT IF MY APPOINTMENT WILL RUN OVER THE ALLOTTED TIME?

Appointments are scheduled in a manner to effectively review your treatment.  If you suspect that your upcoming visit will require more time with the doctor, please notify the front desk prior to the schedule appointment.

If possible, inform the front desk of your extended appointment request when initially making the appointment so that duration and fees can be adjusted accordingly.

I DIDN’T DO MY LABS, SHOULD I KEEP MY PHONE CONSULT?

If lab reports are an important part of your next scheduled appointment, and you were unable to complete them in a timely fashion, please notify the office ahead of time that you need to postpone your appointment until all desired labs are received.

HOW DO I ReORDER?

You can call the office during business hours: 845-758-0001

OR

Create your patient account at www.bocknutritionals.com.

WHEN CAN I START THE SUPPLEMENTS?

Start the supplements once the labs are drawn and any stool or urine samples are collected. We do not need to have the results in order for you to start the initial supplements.

What Does This SUpplement DO?

It is best to bring this question up during your visit, as supplement plans are tailored to the individual.  However, there are some common uses that may help answer your questions. What Does This Supplement Do?

WHY IS THE SUGGESTED DOSE ON THE BOTTLE DIFFERENT FROM WHAT THE DOCTOR RECOMMENDED?

Please follow the dose given by the doctor (sticker on the cap of the bottle).  The doses recommended by the doctor are based on weight and specific clinical situation.

HOW DO I START THE SUPPLEMENTS?

Start the supplements in the order the doctor prescribed. Start with a lower dose the first day and gradually increase to the recommended dose over the three days. Every third day add the next one on the list.

If no order was listed, the particular order of introduction is not as important — select any supplement to start with and add a new one every three days.

WHAT POTENTIAL SIDE EFFECTS SHOULD I LOOK FOR ONCE WE START THE SUPPLEMENTS?

Watch for behavior changes:  Aggression, irratibility, hyperactivity, increase in stimming, restlessness, etc.

Also watch for any GI upset: Diarrhea (common with magnesium supplements), stomach aches, etc.

If any adverse behavior changes are noted, hold the last supplement. Wait until the behavior goes back to what it was before and then reintroduce the supplement at half the dose and slowly work up to the full dose. If this does not alleviate the problem, then hold that supplement until the next appointment.

Toleration issues will be discussed during the next visit.

WHEN SHOULD I STOP THE SUPPLEMENTS?

Stop any supplement that the patient is not tolerating. Otherwise, stay on the recommended supplements until the doctor tells you to stop.  Supplements can be continued during common illnesses and with medications.

WHAT IF I HAVE QUESTIONS ABOUT SUPPLEMENTS?

Although supplements are an important part of the treatment program, supplement questions are not an emergency. If you suspect you are not tolerating a supplement, hold it until you can discuss it with the doctor at your next follow up, or we will return your call as a non-emergency question in the order in which it was received.

SHOULD THE SUPPLEMENTS BE TAKEN WITH FOOD?

All supplements should be taken with a meal unless recommended by the doctor.

CAN I TAKE PROBIOTICS WITH ANTIBIOTICS?

When you are taking probiotics and antibiotics please be aware that they are NOT to be taken together.

You should take your probiotic either 1 hour before or 2 hours after your antibiotic.

ARE THE DOSES IMPORTANT?

The doses are approximations based on the patient’s weight and clinical situation. If you obtain supplements elsewhere, it is your responsibility to find similar doses.