If your medication bottle says (0) refills and one is needed, please call your pharmacy and instruct them to fax us a medication request form (Fax: 760-598-0078 Vista or Fax: 760-598-0078 La Jolla).

If you require written prescriptions for a mail-order pharmacy or a 90-day supply of medication, please call our main telephone line and choose extension 39. Please leave us a concise message regarding the name of the medication, dosage and quantity you require and how frequently you take the medication. This process may take up to 48 hours.

Office policy dictates that if you have not been seen by the doctor within six months that your prescription may be denied until you are evaluated.

Please try to avoid calling for refills on the weekend by checking to make sure that you have sufficient medication. The doctor may not refill narcotics during the weekend. if a written prescription is needed, please call us to arrange pick up. Certain medications may require pre-authorization by your insurance company.

When the doctor requests fasting lab work we request that you have nothing to eat for 8 hours prior to your lab work.
You may drink plenty of water the night before and in the morning. Black coffee is also allowed.
If in the past you have had unpleasant side-effects from having a blood draw, please notify the nurse prior to your lab work.
Most HMO insurance plans require that you have your blood drawn outside of our office at a large national laboratory. This requires the doctor to fill out a laboratory form. You may receive this form during your visit with the doctor. If you need to have blood work done before you see the doctor, please arrange to pick up this form at our office.
Generally lab work requires a week to be completed. If you would like a copy of your lab results, these can be mailed or faxed to you. Please call our main line and select extension 39 to leave us a message and your fax number or current address.
If you require an interpretation of your lab results, we request that you make an appointment to see Dr. Rutman so that he can explain the results to you. If there is a significant abnormality in your lab results, we may call you and request that you make an appointment to see the Dr.

From time to time the doctor may request that you see another specialist or subspecialist because of your health problems.
He will usually give you their business card and instruct you to call their office and make an appointment to see them.
Some insurance companies require these visits to be pre-authorized by them. This process can take up to 7 days. The nurse will speak with you regarding the requirements of your particular plan.

We now accept more than 500 different insurance plans. We attempt to be as familiar as we can with their ever-changing policies and provisions. Please try to read over your plan so that you understand your coverage, exclusions, responsibilities, deductible and co-payments. If you are confused, please bring in your policy at the time of your visit. We have trained staff to try to answer your insurance questions.
We will collect co-[payments and deductibles at the time of the visit. In order to avoid confusion, please bring proof that you have met your deductible for the year.
We accept Discover, MasterCard, Visa, and American Express credit cards. If you have any questions about your bill or if you have had a change of address, insurance, home phone number, cell phone number or email contact Janet at the billing department at 760-598-0088 extension 29.
See the following list of accepted insurance plans. This is just a partial list; if your insurance is not listed here, please call Janet at the billing department at 760-598-0088 extension 29. This list does not guarantee participation in the health plan. It is the patient’s responsibility to verify with the physician’s office.