Certified Nurse Practitioners (CRNPs)
Dr. Brooke has CRNPs that are an integral part of our healthcare team. She oversees the care they give to our patients at BrookeMD Primary Care. Dr. Brooke is also available to see any patient in addition to the CRNP at the time of your appointment if the CRNP deems this is necessary. The CRNPs are able to perform yearly physicals, lab rechecks and same-day sick visits. Since the doctor's schedule stays very full, the CRNPs at our office enable sick patients to be seen with same-day or next day appointments. We refer to Dr. Brooke and her CRNPs as our healthcare providers. For more information on CRNP Info, please click here.
Appointments are required for all services rendered at BrookeMD Primary Care. This allows us to better manage our provider's time to give every patient the amount of time needed to care for their needs. We recommend scheduling appointments on your Patient Portal, however, you may also call our office number, 256-882-150, to schedule over the phone. At every visit our clinical staff will review all of your medications, drug allergies, visits to other health care clinics, changes in your medical history or health status, results on any outside lab or test, and updates on your self-care needs. Please cooperate and answer all questions to the best of your ability as this helps us to more effectively manage your care.
We want to be there when you need us. We want you to call us if you are sick. Since we already know you and your medical history, we are the most prepared to adequately take care of your urgent needs. Your Primary Care Giver has designed slots in their schedule reserved for same-day or next-day appointments. If your Primary Care Giver is out of the office, you may be scheduled with one of our other providers to allow for better service. Our healthcare providers perform as a care team and collaborate daily to be fully prepared to manage your individual health needs. For same day visits, we suggest you call in the morning if you would like to schedule one of these appointments. Please note that antibiotic prescriptions require an office visit to ensure we are responsibly prescribing these medications.
Questions to nurses
As your primary care provider, we recognize that you may commonly have questions or concerns arise that you need to speak to our clinical team about. Depending on the nature of your concern, this may be handled over the phone, through the patient portal by Dr. Brooke or her medical assistant, or you may be asked to schedule and office visit to discuss this directly with one of our providers. When you call or send a message through the portal, you can expect a response by the end of that business day. Making sure we have accurate contact information for you will help avoid unnecessary delays. The patient portal is generally the quickest way to receive a response back from our office.
We will gladly assist you with medication refills as they arise during the year. This is typically handled during your regular office visits. If you require refills outside of an office visit, you may ask your pharmacist to contact us directly on your behalf and we will send your refill directly back to your pharmacy. You may also send us a refill request through the patient portal.
We want to safely and responsibly prescribe medications that are sometimes used to treat our patients with chronic pain, insomnia, anxiety, ADD/ADHD, or other medical conditions. Because of our standard to follow recommended guidelines for these medications we have certain policies related to patients who are chronically taking controlled substances. At Dr. Brooke's discretion, you will be asked to sign a controlled substances contract. In order to ensure we are safely prescribing these medications, refills are given at office visits for only certain controlled substances. Failure to comply with the frequency of office visits required for your medications will result in you no longer receiving your prescription or may results in you no longer being a patient at our clinic. We also monitor patients using controlled medications with periodic urine toxicology tests.
Because of the role of Dr. Brooke desires to serve as your primary care provider, referrals are not generally submitted without an office visit for the particular problem for which the referral is being made. There are also often specific documentation and insurance requirements before submitting a referral which will be taken care of during your office visit. Once a referral is submitted, you can expect to hear back from either our office or the office to which you have been referred within 3 business days.
After hours care
Patients at BrookeMD Primary Care will also be taken care of for emergency consultation when the office is closed. The fee for an after hours call is $25. No antibiotic prescriptions or controlled substance prescriptions will be called in after hours. The on-call provider may be reached at 256-882-1510 and can help you determine if you need to be seen by our providers, go to the Emergency Room, or if your medical issue can be handled over the phone.
Dr. Brooke is on the medical staff at both Crestwood Medical Center and Huntsville Hospital. We generally use the hospitalists' doctors who are experts in Hospital Medicine to admit our patients while they are in the hospital. We have a good relationship with these doctors and feel good about the care they give our patients. We are able to view all test results that occur within these hospitals. The hospitalists let us know when our patients are admitted and the treatment course they undergo while they are in the hospital. You will follow up with your provider at BrookeMD Primary Care after your hospitalization. We have elected to use this service for our patients because it ensures you are given quality medical care in the hospital, while enabling us to give our patients in the office our undivided attention.
Vaccines for Children
We believe in the effectiveness and safety of vaccines to prevent serious illness. We vaccinate children following the schedule published by the Centers for Disease Control, the American Academy of Pediatrics, and the American Council on Immunization Practices. We will work with any family whose child is not up to date with their vaccines to become compliant with current recommendations.
We recommend patients >50 years old have a physical annually. For patients between ages 40-50, we recommend a physical every 1-2 years as needed based on your individual health. For children <3 years old, we follow the recommended schedule by the American Academy of Pediatrics. For children ages 3-18 years old, we recommend an annual well child visit. For patients ages 19-39, a physical will be scheduled as needed based on your healthcare provider's recommendation.
We are glad to assist you with paperwork you need us to complete for you. Please allow 3 business days for the form to be completed. The fee for forms to be completed is $25 if this is outside an office visit. You will be notified when your form is ready to pick up.
Updating Demographic Info
Once a year, we will ask you to verify your demographic information to ensure we can accurately contact you and bill your insurance company on your behalf. This is generally done at your physical. You will also be asked to update your HIPPA Health Insurance Portability and Accountability Act) form once a year. This is your opportunity to include of exclude any individual that you want to be able to receive medical information about you. Because of state laws, this is applicable to any patient over the age of 14. This means we are not legally able to give medical information out to parents unless the parent's names are listed on the child's HIPPA form when the child is over the age of 14.
Prior Authorizations (PA)
Insurance companies are constantly changing their prescription drug coverage. We do our best to prescribe medications that will not be too expensive for you, but it is very helpful for you to also be aware of what medications are preferred by your individual insurer. Some medications require a prior authorization or special approval by your insurance company to cover the medication for you. We have found that this special approval is frequently difficult to receive. If you are notified by your pharmacist or your insurance carrier that a medicine you are on requires a PA, you will be offered the choice of paying for that medication outside of your insurance coverage or scheduling an appointment to discuss your medication options with your physician.
Financial/ Business Policies
Copays are collected at check-in prior to your appointment with your healthcare provider. Please come to your appointment prepared to pay your copay or deductible. If you are not able to pay at the time of your visit, we will gladly reschedule you for a better time.
We strive to respect your time by avoiding long wait times at our office. Our goal is for you to be roomed within 10-15 minutes of your appointment time. While sometimes unforeseen events occur that affect our schedules, please let us know if you consistently have to wait longer than this.
In like manner, we ask you to please be respectful of our healthcare provider's time. Please be on time for your appointment. If you are not on time for your appointment you may be asked to reschedule. This allows our providers to ensure they have an adequate amount of time to address your healthcare needs during your office visit.
Also, please notify us if you need to cancel or reschedule your appointment 24 hours in advance of your appointment. Our fee for a "no-show" is $35. This fee is increased in the event of a "no-show" for a procedure like ultrasound or stress test.
If you have a question or concern about a bill or statement you have received from our office, please immediately call our billing department to discuss with them. They are very available to resolve any issues or answer any questions you may have. As you know how complex dealing with insurance companies can be, we ask you to please resolve any issues with our billing department as soon as you are aware of them. Please be aware that we are not able to continue to provide medical care to patients who accumulate medical bills without payment.
We are currently accepting new patients with all insurance types except for Medicare, Medicaid and United Healthcare. We are also currently accepting patients as a cash pay option who do not have insurance. We do not treat our patients differently because of your type of insurance and are proud to provide equal access to our patients no matter your insurance status.