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Emergency Care

In the event of an emergency, you should call 911.  If the issue is urgent, but not an emergency, and cannot wait until the next business day, you should call your primary care physician or go to an immediate care center or a local hospital emergency department.

Dr. Kramer does not provide emergency department care or inpatient hospitalization services.  If you are hospitalized, Dr. Kramer will work closely with your attending physician and arrange to provide any GI follow up care in his office after you are discharged from the hospital.

Prescriptions and Renewals

 All prescriptions and authorizations for renewals should be requested during office hours.  Refills and authorizations for renewals are typically handled within 24 hours.

**PLEASE NOTE:  All prescription renewals require that you have been seen by Dr. Kramer within the last 12 months.  If it has been a year or more since you were last seen, an office appointment will be required before a prescription will be refilled. 

Telephone Calls

You are encouraged to call with any questions that you have about your medical care.  These questions will be answered either by Dr. Kramer or his staff during the scheduled time to return calls.   

Fees and Payments

Our goal is to provide you with high quality medical care at an affordable price.  We feel, however, that it is your duty to know the limits and coverage of your particular policy.  Since we accept many insurance plans, we cannot know the specific guidelines of every patient's policy. You are expected to pay your portion of the charges at the time of service.

We will bill secondary insurance companies one time as a courtesy.  If no payment is received, you will be responsible for payment.

Accepted payment methods: 

Cash, Check, Visa, Mastercard, Discover, and Americal Express


We strive to render excellent GI care to you and the rest of our patients. When an appointment is scheduled, that time is set aside for you and when it is missed, that time cannot be used to treat another patient.  In an attempt to be consistent with this, we have a cancellation/no-show policy as follows:

If you are unable to keep your appointment, you must call our office at least 24 hours prior to your scheduled appointment.  For example, if you are scheduled for Thursday at 9 a.m., you should call us before 9 a.m. on Wednesday.   If you miss an appointment without contacting our office within the required time, this is considered a missed appointment.  A fee of $75.00 will be charged to you. This fee cannot be billed to your insurance company and will be your direct responsibility.  No future appointments can be scheduled nor can records be transferred without the payment of this fee.

Additionally, if you are more than 20 minutes late without prior notice for a scheduled appointment, we will consider this a missed appointment and the $75.00 cancellation fee will be charged.

Your timely cancellation allows us to make your scheduled time available for others waiting to be seen.

If you have any questions regarding this policy, please let our staff know and we will be glad to clarify any questions you may have.