Office Hours, Insurance Participation & Appointments:
Office Hours:  (we are closed 12:30pm-1:30pm for lunch daily)
    Monday  8AM- 5PM
    Tuesday  8AM- 5PM
    Wednesday  8AM - 3PM
    Thursday  8AM - 5PM
    Friday  8AM - 4PM    

We participate with most insurance plans including Medicare, Alameda Alliance, PPO plans, Hill Physicians etc. Please feel free to call our office for
questions regarding your insurance coverage.

A new patient appointment generally runs between 45-60 minutes and a follow up appointment runs for 15-25 minutes depending upon the complexity of
your medical conditions.  As there are many medical conditions associated with the various types of arthritis, a complete history and physical exam is
required at the first visit.  Dr Shibuya would greatly appreciate your bringing copies of any recent lab work, x-rays, CT or MRI reports or any other tests
performed by your primary care physician or orthopedic surgeon to your new patient appointment as this will allow for a more comprehensive evaluation
and treatment plan.  The more we know about all of your medical conditions, the better we will be able to help you manage your pain and arthritis.

In order to prevent delays in the office, we would ask that you arrive 20-30 minutes PRIOR to your new patient appointment to fill out
insurance and health
history paper work.  This will allow Dr Shibuya to address your health concerns in a timely manner.  If you are running late for your appointment, and if you
do not mind waiting, we will try to accommodate you if you would still like to be seen that day, although there will usually be a wait.  You can also be
rescheduled for another follow up appointment.
Payment Policy:

Due to unpredictable delays in reimbursement from different insurance providers, payment is expected at the time of your visit.  As a courtesy to you, our
office will bill your insurance for the services provided at our office.  Your insurance carrier may NOT pay for the entire fee and you will be responsible for the
balance.  You may pay by cash, check, Visa or MasterCard.  Co-pays are due PRIOR to seeing the doctor.

Please double check with your insurance provider to see if an authorization is required for your new patient appointment with Dr Shibuya.  If you have Hills
Physicians etc YOU WILL NEED AN AUTHORIZATION from your Primary Care Physician (PCP) before seeing Dr Shibuya.  If you are seen without an
authorization, you will be responsible for your entire bill. If you have any questions regarding your office statement, please call 510-791-1300.

Patient’s Responsibilities:

All office visits are BY APPOINTMENT ONLY. In cases of “arthritis flares” or emergencies, please call our office first for availability. Walk in patients without
an appointment will be screened for urgency and scheduled appropriately depending upon availability.  If you must cancel or re-schedule an appointment,
please let us know as soon as possible so that other patients can be scheduled.

Phone calls to discuss routine problems or prescription refills are handled during regular business office hours.  Please note that our office hours may
change without notice for holidays, medical conferences or unforeseen circumstances and thus it is highly recommended to have your prescriptions refilled
at your follow up appointments.  Patients on narcotic medications for pain will need to physically pick up a prescription refill for we are not permitted to “call
in” refills after office hours or weekend.  Please plan accordingly for refills of your pain medications.

The results of lab work and imaging (X-rays, MRI, bone density testing) will be reviewed with you at your follow up appointment.  Please do your lab work
and imaging studies at least one week prior to your follow up appointment to ensure that the results have been reported to Dr Shibuya before your
scheduled follow up appointment.  In the event that you are unable to have your tests done one week prior to your appointment, you may either re-schedule
your appointment or we will call for the results at your appointment time.  If there is a “CRITICAL RESULT,” we will call you as soon as possible to
reschedule your appointment earlier, otherwise...

In cases of an emergency, please check with your primary care physician first as they will know about all of your medical conditions.  Dr Shibuya is always
available to your primary care physician if they need further assistance.  If you are unable to contact your primary care physician, go to the nearest
emergency room and if needed, the ER physician will contact Dr Shibuya.

Please report any problems you have with medications or treatment as different people react differently.  It is possible for Dr Shibuya to manage your care
only if you tell Dr Shibuya about difficulties you are having, if medications are ineffective or causing discomfort.  Please feel free to inform Dr Shibuya if you
are having any difficulties with him or office staff as we want to provide the best care possible and can only do this with your input.

Patient Educational Resources:
Dr Shibuya believes that an informed patient is a healthier and happier patient.  In order to foster patient self education, Dr Shibuya recommends the
websites for arthritis related issues.
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