Preventative/Wellness vs. Diagnostic/Office Visit Information

  1. A Preventative/Wellness visit (Annual Physical Exam) is an Asymptomatic (not problem based) exam used for the purposes of promoting wellness and disease prevention, screening for diseases treated when caught at an early stage, and review/update of medical history.
  2. It includes an age and gender appropriate history, examination, vital signs, counseling/anticipatory guidance/risk factor reduction interventions, vaccine administration, and the ordering of laboratory/diagnostic procedures appropriate for screening and prevention only.
  3. As mentioned, it is not problem based (Diagnostic/Office Visit), which would require additional work and treatment.  This includes anything from insomnia, sinuses, cold symptoms to chest pain, urinary symptoms, worsening of chronic conditions (Diabetes, Hypertension,etc)
  4. If an abnormality is encountered OR a preexisting problem is addressed while performing the preventative exam requiring additional work and treatment, then this is considered a diagnostic/office visit along with the preventative service.
  5. An insignificant/trivial problem that is encountered in the process of performing a preventative exam which does not require additional work is not considered a separate diagnostic/office visit.
  6. It is important to note that checking the status of chronic conditions and refilling on-going prescriptions is part of the Annual Preventative Exam.
  7. However, a chronic condition that is not well controlled, and decisions are made to help improve control (dosage of medication changes, new medication, new therapuetic options, etc), this this is considered a diagnostic/office visit along with a preventative service.


  1. What is the easiest way to set up an appointment request?
    The easiest way to schedule an appointment is to call us at (317) 644-5100 and select option 1. If unable to reach someone, please leave a message stating when you would like to be seen and for what reason.
  2. Do I need to schedule an appointment if all I want is to have Lab Work done, or I am just needing an injection such as Vitamin B12, Testosterone, or Migraine Headache medicine?
    No, not necessarily. Many situations can be taken care of by our nursing staff and you do not need to be seen by the doctor. It is easiest if you let us know a time you think you will be able to come in so that we can put you on the schedule and be prepared. Please do not hesitate to ask if you don’t think you need to be seen.
  3. Is there a long wait to see the doctor at your office? We try very hard to stay on time with the schedule, as we understand that your time is as valuable as ours. Unfortunately, this is not always possible, and many factors out of our control can cause this. With your help, we will do our best to stay as efficient as possible.


  1. If I believe that I have an infection that needs an antibiotic, can I just call and have one prescribed?
    Unfortunately, no. The majority of upper respiratory infections are actually caused by a Virus, for which antibiotics do not work. More over, antibiotics have many more risks to ones health than your run of the mill upper respiratory infection. For one, you can have a severe allergy to an antibiotic. Two, you can have an adverse effect such as diarrhea, vomiting, headache, joint pains, and so forth, from taking an antibiotic. Three, treating a Virus with an antibiotic, or not taking the full prescription even if it is Bacterial in nature, causes resistant Bacteria that are now becoming rampant in the community. All it takes is for one to see a widespread MRSA (Methicillin Resistant Staph Aureus) infection on a 5 year old due to overuse of antibiotics for one to realize the seriousness of this. Therefore, we will ask you to come into the office to be seen by the doctor if you believe you need an antibiotic.
  2. Am I able to call and have my pain, anxiety, ADHD, or other controlled medications refilled after hours?
    Unfortunately, no. These prescriptions are controlled by the state, and are not to be filled after hours, weekend, or the holidays. You must call prior to these times when a member of our staff may access your medical record and allow time for the doctor to review. You may also be asked to be seen directly in the office, and we ask that you are prepared for this if it were to occur.
  3. How long will it take to have my prescription to be refilled?
    Please allow 24 hours for any prescription request to be filled. Majority of the time, we are able to fill a prescription within only a few hours, but on occasion, it is not possible, and we ask that you prepare for this just in case.