We believe in providing you with the highest quality care in Management of Diabetes and Endocrine disorders. The information that follows is intended to answer any questions that you may have to make your experience here as positive as it can be. If you have any additional questions, please do not hesitate to contact us. Dr. Rangi and all of the staff understand the importance of your health. We have experience in accommodating the special needs of patients with diabetic and endocrine disorders. We take pride in our work and welcome your questions, comments, and suggestions.

New Patients: Please click here for New Patient Information package. (It may take some minutes for the package to download, thanks for your patience).

Our practice is a referral based consulting practice. A referral should be faxed by your physician prior to scheduling your appointment along with the pertinent medical records. Once the referral is received, our office will schedule an appointment for you. We try to accommodate for serious referrals at the earliest and others may take 1-2 weeks depending upon the wait period and sometimes longer.

We accept most insurance plans. It is your responsibility to inform us prior to your appointment if your insurance has changed since the initial appointment set up. You are required to pay the co-payment in full at the time of your visit. If your eligibility cannot be confirmed you may need to pay in full for your visit. Make sure you arrive 15 minutes before your scheduled appointment in order to complete any necessary paperwork or front desk formalities. If you have any questions please call our office at (530)677.0700.

Please make sure you bring the following at your first visit:

• Completed New Patient Information Package
• Insurance card, driving license or other photo ID and social security card
• Please bring all your prescription and non prescription medications including calcium, vitamin D, and herbs in their original containers
• Patients with Diabetes: We use latest technology in managing diabetes. We download the Insulin pumps and glucometers and therefore request you bring them to each visit. Also bring a log of your blood sugars and blood pressure for 2 weeks on the day of your visit
• Please write down any questions you may have for the doctor to make the most out of your visit

Patient portal allows patients to manage their healthcare online. You can access information in regards to your health, medical records, request visits, prescription refill requests or ask questions from a secure site. To access patient portal you must have a username and password. Please click here to sign in, or you can also access by clicking the top right button.

Follow up visits

We encourage you to bring your ID and insurance cards at each visit. We also recommend that you bring your medications / an updated list of your medications, record of BP, finger stick blood glucose record, glucometer, pump or sensor with you so we can download the information for your education and to help manage your condition.

Paying for your visit

We are dedicated to provide the best possible care for you, and we want you to completely understand our financial policies. Payment is due at the time of service unless arrangements have been made in advance by your carrier. We accept cash, credit cards and checks. There is a fee for bounced checks so we encourage you to consider this before writing a check. Please click here to see our Financial Policy. If you have any billing related questions please contact our billing department at 1-866-949-4565.
There is a $25.00 charge if you do not reschedule / cancel your follow up visit, 48 hours prior to the appointment.

Office Hours, Appointments, Cancellations

Our regular office hours are 8:30 AM - 5:00 PM Monday through Friday. Lunch hours are 12:30 PM - 1:30 PM.

We are closed on major Holidays including New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, and Christmas Day. Other vacation / holiday closures will be notified.

We make every effort to be on time for all of our patients and ask that you extend the same courtesy to us. In the event that an emergency occurs or a patient has extra needs resulting delay in your appointment, we ask for your understanding.

If you cannot keep an appointment for whatever reason, please be respectful to other patients and give us 48 hours notice. This will allow us to make this time available to other patients.

Confirmation Calls

We provide a courtesy confirmation call of your appointment 1-2 days before your appointment. Please insure your phone number and other vital information is kept current.

Emergencies

If you have a medical emergency call 911 or go to the nearest emergency room. The treating physician will contact us. For questions outside of the normal business hours, please call (530)677.0700 and leave a message after listening to the prompts and MD will call you at the earliest. For routine questions, call during business hours.

Prescription Refills

We encourage you to get all your refills at the time of your visit. If you do need a refill in between your visits we encourage you to contact your pharmacy to request the refills. If you have problems getting refills from your pharmacy, then contact us. We use electronic refill system and encourage you to use the pharmacies that have electronic refill system. We require at least 48 hours to process refill requests and therefore you should call in advance for refills. In some cases refill may be denied if medically necessary, you may be asked to make an appointment to be revaluated and may need to get a repeat blood tests before appropriate refill is provided. We do not provide any refills if the patients fail to keep their follow up appointment and have not been evaluated within the previous 6 months.

We provide patients with a visit summary at the end of each visit which includes the recommendations and list of updated medications. We encourage you to revise the list if you think there are any mistakes or if any changes are made to your medications in between visits. Please bring the list to every visit so we can make appropriate changes and keep medications updated.

Labs

Labs may be done at any lab, facility or at your primary care's office. Please request the lab to fax the results at (530)676.7850. Based upon your medical condition, you may be asked to get the lab evaluation a week or 2 weeks before your visit. If the laboratory testing is not done on time, that leads to unnecessary cancellations. Please also pay attention to the timing / fasting / non fasting status suggested by your physician.

If a 24 hour urine collection is suggested, you could take the lab request by your physician to the lab to pick up a container for the collection. Instructions on how to collect the 24 hour urine are provided at the time of request is placed by your physician. You could also request a copy again by calling our office. Sometimes there are some special tests ordered that are scheduled in a hospital of your choice.

Radiology/ Imaging requests

Imaging may be requested based upon your medical condition. Most of these will be set up by the receptionist at the time of checkout or you will be given directions how to proceed with making an appointment. The order will be faxed to the facility of your choice. Radioactive iodine treatments will be addressed and scheduled by the medical assistant and she will contact you within a week to provide you with your appointment, date, time and instructions.

For certain conditions we refer you to Nuclear medicine department at Mercy San Juan Hospital, 6501 Coyle Ave, Carmichael, CA. The appointment will be made by our receptionist with a week. For questions you could reach Melinda at 916-537-5028.

It takes approximately 30 minutes to get there from Placerville. Directions from Placerville: Take US-50 W; Take the Sunrise Blvd exit; Turn right onto Sunrise Blvd; Turn left onto Madison Ave; Turn right onto Dewey Dr; Turn left onto Coyle Ave; Hospital is on the Right.

Medical Records

The information contained in your medical records is strictly confidential. We value the trust you place in us to keep this information private and we will not release any information without your signed permission. If you wish to have a copy of your records, please call our office and we will send you the Authorization form. Once we have received your permission, we will send you a copy of your records. Depending upon the number of copies there may be a charge involved. Please allow at least 2 weeks to process your request.

Questions and Concerns

Patients are encouraged to call our office during regular business hours with questions concerning medical problems or medication. You are also encouraged to utilize our secure website (Patient Portal) to send messages, ask questions, make suggestions, request prescription refills, or for appointment needs. Laboratory test results are generally discussed at the next follow-up appointment. Our staff is trained to answer most of your questions. However, in some cases, they may take a message for the Doctor to return your call.