OFFICE VISITS BY APPOINTMENT ONLY. PATIENTS WILL BE SCREENED PRIOR TO ENTRY.
A clinical referral is needed from your primary care physician or referring specialist. The purpose of this referral is to obtain your medical history for review and assessment and for continuity of care
with your care team.
Unfortunately, we cannot accommodate self-referrals or walk-in patients.
IMAGING AND TESTING
We require recent diagnostics/MRI and the report that is no more than six (6) months old. These diagnostics must be ordered by your referring physician.
Please use the resources on this page to prepare for your appointment. The New Patient Registration Packet is available for printing at your home or office. Simply click on the provided link, print, complete and bring the forms with you to your appointment. We will also collect the following items during your visit:
Imaging CDs and/or Reports
Co-payment, Co-insurance or Annual Deductible
We require all new patients to review, complete and transmit forms to our office no later than one business day prior to scheduled appointments.
Incomplete paperwork AND/OR not sending completed forms prior to scheduled appointment may result in your appointment having to be rescheduled.
NEW PATIENT APPOINTMENTS
A clinical referral is required from your primary care physician or referring specialist. The purpose of this referral is to obtain your medical history for review and assessment and for continuity of care with your care team.
Contact your PCP for a full work up to see a specialist.
We need the following prior to scheduling an appointment with Dr. Counelis:
Dr. Counelis reviews all incoming referrals, if authorized we will call you for an appointment. If referral denied, we respond to the referring physician stating why.
New patient referrals take 2-4 weeks to process due to all requirements/protocols above.
SECOND OPINION REQUESTS
Dr. Counelis will review the referral and a team member will get back to you with a response/appointment.
CONTRA COSTA HEALTH PLAN PATIENTS
Your referral comes from your primary care physician office/ care coordinator. Please contact your PCP to confirm they faxed us the following:
FOR URGENT REFERRALS
We respond to all referrals as soon as Dr. Counelis reviews. Please understand this may take a few days to a week for response due to MD trauma call schedule.
FOR TRAUMA FOLLOW UP PATIENTS:
FOR ED HOSPITAL FOLLOW UP PATIENTS:
If you did not see Dr. Counelis, but were referred by discharging physician at any hospital then we need the following:
PRIVATE PAY PATIENTS
If we do not accept your insurance coverage or if you don't have medical insurance, there are private pay options for consultations, office visits, and surgical procedures.
Out of pocket/ cash pay prices for out of network patients due at the time of visit:
New patient consult/Second opinion 60 minutes $624.00
New patient comprehensive 80 minutes $809.00
Established patient follow up 20-30 minutes $326.00
Established patient follow up 30-40 minutes $477.00
*Unfortunately, we cannot accommodate self-referrals or walk-in patients