New Patient Information
Basic New Patient Information
Please email us if interested in a consultation with Dr. Rotchford. Priority is given to patients who have been referred by their Primary Care Provider. Email us at staff@opas.us, which will expedite a response. The following information might be helpful before you contact us. You might also email staff@opas.us with your questions.
Dr. Rotchford is available for both in-office and telemedicine consultations.
New patient consultations begin at $160.
New patient consultations are being scheduled, with priority given to those with formal consultation requests. If you have Washington State insurance or a subsidized plan as your primary insurance, such as Medicaid or L&I, we are unable to see you because we do not have agreements with them. Only standard Medicare works because Dr. Rotchford opposes the profit incentives associated with Medicare Advantage plans and commercial insurance. As a result, Dr. Rotchford only has an agreement with Standard Medicare and associated secondary Medicare Insurance. We bill commercial insurers, but patients will be responsible for paying us for the services provided, and their accounts will be credited if and when a third party reimburses them or us.
The one-time-charge consultation, whether in person or online with a letter of consultation sent to one’s primary care provider (PCP), is as low as $250.00. For the standard 60-75 minute consultation, the fee is $390.
Given our current regulatory environment and Dr. Rotchford’s plans to retire in 2028 or before, he has informed current patients that he will not be prescribing Schedule II opioids as of December 2026. Consequently, he will not be prescribing these opioids aside from acute issues. He plans, however, to continue until his retirement to prescribe Schedule III opioids such as tramadol or buprenorphine if indicated.
Regarding Your First Visit
After Dr. Rotchford listens to your medical history, provides a pertinent physical exam, and reviews your records, he will advise you of suitable options. We expect new patients to feel well-listened to and thankful for the education regarding potential therapeutic plans. Our initial therapeutic plans are intended to be practical and workable. For your first visit, expect to be at the office for at least an hour. While Dr. Rotchford makes exceptions, please do not expect to have prescriptions for controlled substances filled during your first consultation.
After Hours Care
Dr. Rotchford is generally available by phone within 24 hours for established patients with concerns about their treatment plan. Please email us at staff@opas.us and Dr. Rotchford intends to respond by the end of the next business day. If it is an acute or new medical issue, please call your PCP first. Dr. Rotchford is primarily available to address concerns about his prescriptions and the associated chronic conditions. He does, when asked, provide his personal cell number to established patients.
Some Potentially Helpful Forms & Handouts — For New and some established patients:
Release of Healthcare Information (useful for records to be sent from one provider to another)
Memo Regarding patients who seek specialized medical care for chronic pain and SUDS
This is for patients who want ongoing care by Dr. Rotchford for Chronic pain issues or substance use disorders. It is particularly pertinent for patients who might benefit from controlled substance prescriptions.
Memo about Washington State plans and Medicare Advantage Plans
This memo is intended for potential patients with state-administered insurance, including Medicaid, Apple Health, Basic Health, and L&I.
As a courtesy we have medical billers who bill third parties. Medicare has us bill them directly. For patients other than Medicare we expect down payments at time of service. Balances remain the responsibility of patients and after 60 days all balances are transferred to the patient. Prompt pay discounts are limited to 60 days. Out of network coverage for our services is often available but needs to be pre-arranged. We do not have agreements with any Washington State sponsored programs including Medicaid and L&I.