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Consultants in Cardiology


In order to provide each patient with the best care possible, we have established our office policies to better serve your needs.  Please take the time to review these and do not hesitate to contact our knowledgeable staff if you have any questions or concerns about these policies.

Patient Financial PolicyAppointment Scheduling Missed Appointments ♦ MedicationsMedication ChangesOffice Hours Telephone Calls ♦ Laboratory & Diagnostic Testing ♦ Health Insurance and PaymentForm Requests

Patient Financial Policy

View Patient Financial Policy

Appointment Scheduling

No patient will be seen in the office without an appointment.

When you or one of your medical providers makes an appointment with us, we will try to accommodate you as soon as possible. Our front office staff is well trained in making sure that you are given the appropriate appointment.

We ask that patients arrive on time for their scheduled appointments.

Although we try to maintain a schedule of appointments during each office day, our providers sometimes do take longer than the scheduled time allotted to a patient in our office due to an unforeseen complication in the patient’s care.  When this happens, and your appointment time is delayed, we will always try to contact you by the phone number you have designated to give you the opportunity to reschedule or come later in the day so that your time is not wasted.  Please know that we value your time.

Missed Appointments

Our office only sees patients by appointment.  We do try to contact each patient at least 48 hours in advance confirming this appointment.  However, this is not always possible and there may be instances where a patient does not receive an advanced phone call reminding them of their appointment.

Missed appointments, not canceled with at least 24-hours notice will be charged a cancellation fee as this missed appointment does not allow our providers adequate notice to allow us to accommodate other sick patients who need to be seen urgently. 

Please note this missed appointment fee is not covered by your insurance.


New medications prescribed by our providers will be filled immediately.  Please provide our office with the name, location and telephone number of the pharmacy where you would like the new medication prescription sent.

Refill medication requests require at least a one week notice.  We do not accept refill requests on the weekends.  Please tell your pharmacist of our refill policy to insure plenty of time to receive your refills.

Our office does not refill prescriptions prescribed by other physicians.  Only those medications prescribed by Dr. Levin & Sandra Alfred, NP will be processed.

Medication Changes

Often patients will see other medical or dental providers who from time to time change or add new medications.  It is very important that you inform our office about these changes so that they can be recorded and placed in your medication list in your chart.  Never assume that we have been notified about medication changes from any source other than yourself.  You must be responsible for notifying all providers of your current medications to receive the best care possible and to be sure that the medications can safely be taken together.

This is especially important if you are on any anti-coagulant therapy such as Coumadin or Warfarin.

Office Hours

Our office is open Monday thru Friday 9AM to 4PM.  We do require that patients make an appointment if they require the attention of one of our providers. 

Telephone Calls

Patient Calls

Our office accepts phone calls Monday thru Thursday 10AM to 4PM and Friday 10AM to 12PM.  We do have an answering service that will answer our main number, 401-349-0366,   all other hours for emergency calls only.  The answering service will not accept any calls that are not emergencies.  Please wait to call our office during regular working hours for these non-emergent calls such as cancellations, questions etc.

Please note if you cannot get through to our office for an emergency call after hours, call 911 or go to the nearest hospital emergency room for care.

As noted above, we will not accept phone calls for prescriptions, lab results or general non-emergent questions for the providers from patients or their families after regular office hours or on weekends or holidays.

During regular office hours, when calling our office, one of our staff members will record your message or question and provide Dr. Levin or Sandra Alfred NP with this information in a timely manner.  If it does not require immediate attention, your call will be returned before the end of the day usually between 3pm and 5pm by one of our providers or the office staff.    Please do not ask us to interrupt Dr. Levin or Sandra Alfred while they are seeing patients.   We take good care of your messages and they are always given to our providers immediately.  Please do not call multiple times during the day to ask if the Doctor or Nurse Practioner has received the message.  This only slows the response time.

Calls from Family Members & Caregivers

Due to HIPPA policies concerning patient privacy, we cannot discuss or provide information to any family member, caregiver, or anyone else that does not have specific written permission by the patient for us to discuss their care and treatment.

As our providers time is valuable and best used spending time with our sick patients, we ask that families designate one member to receive and discuss patient care with our office.

Laboratory & Diagnostic Testing

When you are sent by our providers for lab work or a diagnostic test, depending upon the tests ordered, the results are usually received in our office within 2 weeks and you should be notified by our office concerning the test results.  This applies to most testing, however, there may be results such as PT/INR testing for Coumadin therapy, blood glucose, serum potassium that require patient notification on the day of the test.  Our office will tell you the exact time frame that you should be expecting test results.  If however, you have not heard from us within this time frame; please call our office as we may be having difficulty getting in touch with you.

Health Insurance and Payment for Visits

Full payment or proof of insurance is expected at the time of the visit.

We accept Blue Cross/Blue Shield, United Healthcare, Medicare, Aetna, Tufts, Cigna,Neighborhood Health and several other private insurances.  Please call our office if you are not sure about your insurance.

Payment of copays and deductibles are expected at the time of the visit

It is the patient’s responsibility to provide our office with the correct health insurance information at the time of the visit.  Many health insurances now have high deductible plans.  If you are covered by one of these high deductible plans, please be sure to let the office know and contact your insurance provider before the visit to make sure that you have met your deductible.  If you have not, we ask that you pay for your visit at the time of service. 

If you are unable to pay for your services, please do not cancel your appointment or ignore your bill.  Call and speak to our office so that we can agree on a payment plan.

Form Requests

Please allow 2 weeks for completion of any forms or paperwork for the patient’s disability, non health insurance, etc.  Depending upon the length and complexity of these forms, there may be a fee for completion of the form.  Please call our office before dropping off any form to be completed to be sure it is appropriate for our office to fill this out and if there will be any fees associated with completion.