Frequently Asked Questions

Physicals & Immunizations

Immunizations Services

1. What immunizations does your clinic offer?

We provide a full range of vaccines for children, adolescents, adults, and seniors. This includes routine childhood vaccines (such as MMR, DTaP, Varicella), adolescent boosters (HPV, Meningococcal), adult vaccines (Tdap, Influenza, Pneumonia, Shingles), and travel-related immunizations when appropriate.

2. Do I need an appointment for vaccinations?

Most vaccines can be given during a scheduled visit or combined with your annual wellness exam. Walk-ins may be available depending on clinic capacity.

3. How do I know which vaccines I need?

Your provider will review your age, medical history, previous vaccinations, lifestyle, travel plans, and risk factors to determine which immunizations are recommended. We also follow CDC and state public health guidelines to keep your vaccination schedule up-to-date.

4. Are vaccines safe?

Yes. Vaccines undergo rigorous testing before approval and continuous safety monitoring afterward. Most side effects are mild—like soreness at the injection site or low-grade fever. Your provider will review potential risks and help you make informed decisions.

5. Can I get multiple vaccines at the same visit?

Absolutely. Receiving multiple vaccines at once is common, safe, and prevents delays in protection. Your provider will let you know if any immunizations need to be spaced out due to medical reasons.

6. Do vaccines cause side effects?

Mild side effects like arm soreness, fatigue, or mild fever are normal signs that your immune system is responding. Serious reactions are extremely rare, but we monitor all patients after vaccination and provide instructions on when to seek medical attention.

7. How much do vaccines cost?

Most insurance plans cover routine vaccinations at little or no cost under preventive services

8. Can I get vaccinated if I’m sick?

If you have a mild illness—like a cold—you can usually receive vaccines safely. If you’re running a fever or have a more serious illness, your provider may recommend delaying vaccination until you feel better.

9. Do adults need vaccines too?

Definitely. Protection from certain vaccines wears off over time, and adults are at increased risk for illnesses like influenza, shingles, and pneumonia. Staying current with adult immunizations helps prevent serious disease and reduces the spread within your family and community.

10. Why does my child need booster shots?

Some vaccines require multiple doses to build strong, long-lasting immunity. Booster doses help reinforce your child’s protection as they grow and as disease risks change. We don’t offer theses vaccines at this time but we will in the near future.

11. Can your clinic provide proof of immunization for school, work, or travel?

Yes. After your vaccination, we can provide official immunization records for school enrollment, employment requirements, immigration forms, or travel documentation. If you’ve had vaccines at other facilities, we can help consolidate your records.

12. What if I’m unsure whether I’ve received a specific vaccine?

If you’re unsure, don’t worry—your provider can review past records or run blood tests (titers) to check for immunity to certain diseases. In many cases, it’s safe to repeat a vaccine if documentation is unavailable.

13. Are vaccines safe?

Yes. They undergo extensive research, testing, and ongoing safety monitoring.

14. Do adults need vaccines?

Yes. Adults may need boosters, flu shots, COVID vaccines, shingles, pneumonia, tetanus, and travel vaccinations.

15. Can I get multiple vaccines at the same visit?

Yes. Many vaccines can be administered together safely.

Sports Physicals

1. What is a sports physical?

A sports physical, also called a pre-participation physical examination (PPE), is a medical evaluation required by many schools, leagues, and athletic programs. It helps determine whether it’s safe for an athlete to participate in a particular sport by reviewing their overall health, medical history, and physical readiness.

2. What does a sports physical include?

A typical sports physical includes a review of medical history, vital signs, height and weight, vision screening, heart and lung evaluation, musculoskeletal exam, posture and joint assessment, and a discussion about any prior injuries or symptoms during exercise. Providers may also review medications, asthma management, or other health concerns that could affect athletic performance.

3. Why is a sports physical important?

Sports physicals help identify health conditions that may place an athlete at risk, such as heart rhythm issues, asthma, concussions, or musculoskeletal problems. Early detection allows providers to recommend treatment, activity modification, or protective strategies to keep the athlete safe throughout the season.

4. How long does a sports physical take?

Most sports physicals take about 20–30 minutes. If additional testing or follow-up is needed—such as an EKG, clearance for a previous injury, or specialist referral—the visit may take longer.

5. What should I bring to my appointment?

Please bring your completed school or league physical form, your athlete’s most recent immunization records, a list of current medications, and any relevant medical documents (such as injury reports, asthma action plans, or specialist notes). Having these ready helps us complete the clearance efficiently.

6. Are walk-ins available for sports physicals?

Many clinics offer walk-in or same-day appointments during busy sports seasons, but availability can vary. Scheduling an appointment ensures proper timing and allows us to review any pre-existing conditions thoroughly.

7. Will the provider sign my school or league clearance forms?

Yes. Once the physical is complete and your provider confirms that it is safe for you to participate, they will complete and sign all required clearance documents during the visit.

8. Can an athlete be denied clearance?

In rare situations, if a health concern is identified that could place the athlete at risk—such as uncontrolled asthma, recent concussion, heart abnormalities, or untreated injuries—the provider may delay clearance. In these cases, the provider will outline next steps and help coordinate any needed testing or specialist care.

9. How long is a sports physical valid?

Most schools and sports organizations require a new physical every 12 months. Some programs may require a new form for each season. Always check your school or league’s specific requirements.

10. Will insurance cover the cost of a sports physical?

Coverage varies by insurance plan. While some plans cover sports physicals as part of preventive care, others may classify them as non-covered services. Our billing team can verify your benefits in advance and provide fee information if needed.

11. What if my child has an existing medical condition?

Children with asthma, diabetes, food allergies, ADHD, prior concussions, or orthopedic injuries can still participate in sports with proper management. Your provider will review the condition, ensure medications and action plans are up to date, and determine if any additional precautions are needed for safe participation.

12. Can the sports physical be combined with an annual physical exam?

Yes. Many families choose to complete both during the same visit for convenience. While the sports physical focuses on athletic clearance, the annual physical examines overall health, preventive care, and long-term well-being. Completing both ensures that all required forms and screenings are current.

13. What does a sports physical include?

A health history review, vitals, vision check, joint and muscle exam, and assessment of past injuries or conditions.

14. How long is a sports physical valid?

Typically one year, depending on school or league requirements.

15. Do I need paperwork?

Bring any required school, camp, or league forms for completion.

Pre-Employment Exams

1. What is a pre-employment exam?

A pre-employment exam is a medical evaluation requested by an employer to determine whether a candidate is physically and medically able to perform job duties safely. It may include a physical exam, vital signs, vision and hearing testing, mobility assessments, and job-specific functional requirements.

2. What does your pre-employment exam include?

Our standard pre-employment exam includes a review of medical history, blood pressure and vital signs, height and weight, cardiovascular and respiratory assessments, abdominal exam, neurological screening, and musculoskeletal evaluation (strength, flexibility, and range of motion). Additional tests may be added based on employer needs.

3. What additional tests can be included?

Employers may request add-on testing such as:
• Vision  screening
• Urine drug screening
• TB skin test or QuantiFERON
• Immunization review or titers
• Pulmonary function testing (PFT)
• EKG
• COVID-19 screening
We tailor each exam to meet employer requirements.

4. How should I prepare for my appointment?

Bring a valid photo ID, any employer-provided paperwork, your vaccination records, a list of medications, glasses or contact lenses, and any relevant medical documents (e.g., clearance letters, specialist notes). Wear comfortable clothing if mobility or strength testing is required.

5. How long does a pre-employment exam take?

Most exams take 20–40 minutes. Exams requiring vision/hearing testing, lab work, or functional assessments may take a little longer. If TB testing or titers are required, you may need a follow-up visit.

6. Do I need to fast before the exam?

Generally, fasting is not required. However, if your employer requests metabolic labs—such as glucose, lipid panel, or other fasting bloodwork—we will notify you ahead of time so you can prepare.

7. Will the provider complete my employer’s forms?

Yes. Once your exam is completed and reviewed, we will fill out and sign all required employer paperwork during the same visit whenever possible.

8. Can I be denied clearance after the exam?

If a health concern is identified that could affect your safety or ability to perform essential job duties—such as uncontrolled hypertension, mobility limitations, or abnormal findings—we may need to delay clearance. Your provider will explain the findings, discuss next steps, and recommend follow-up care or testing.

9. Will my results be sent to my employer?

With your consent, we send all required documentation—including exam results, clearance forms, and lab reports—directly to your employer or occupational health team. You may also request copies for your own records.

10. Does insurance cover pre-employment exams?

Most insurance plans do not cover pre-employment exams because they are considered employer-required, not medically necessary. These exams are typically paid out-of-pocket or billed directly to the employer. Our clinic provides clear, upfront pricing.

11. Can you review my immunization status during the exam?

Absolutely. If your employer requires proof of vaccination (Hepatitis B, MMR, Varicella, Tdap, COVID-19, etc.), we can review your immunization records, check antibody titers, and administer any needed vaccines during the visit.

12. How soon will I receive my exam results?

Most exam forms are completed the same day. Lab tests, drug screens, or TB test results may take 24–72 hours depending on the type of testing required. We notify you and your employer as soon as results are finalized.

13. What is included in a pre-employment exam?

Vitals, physical exam, vision and hearing checks, lab testing (if required), and review of job-specific requirements.

14. Do all employers require the same tests?

No. Testing depends on the physical demands or safety requirements of the position.

15. Can I get documentation completed the same day?

Most forms are completed at the visit unless lab results are pending.

Pre-Surgical Clearance

1. What is a pre-surgical clearance exam?

A pre-surgical clearance exam is a medical evaluation performed before your scheduled surgery to ensure you are healthy enough to undergo anesthesia and the procedure. It helps identify potential risks, optimize underlying conditions, and provide your surgeon with a clear medical picture.

2. What does a pre-surgical clearance include?

Standard clearance includes a review of medical history, physical exam, vital signs, lab work, medication assessment, and evaluation of chronic conditions. Depending on the surgery, it may also include lab work, EKG, chest X-ray, urine testing, and any specialty consultations recommended by your surgeon or primary care provider .

3. Why is pre-surgical clearance important?

Clearance reduces the risk of complications during and after surgery. It ensures your heart, lungs, and other systems can safely tolerate anesthesia and the procedure. It also helps identify conditions—like uncontrolled blood pressure, anemia, or infections—that may need to be addressed before surgery.

4. When should I schedule my pre-surgical exam?

Most surgeons recommend scheduling your clearance 1–4 weeks before your procedure. This allows enough time to complete labs, receive test results, address any issues, or undergo additional evaluations if needed.

5. What should I bring to my appointment?

Please bring:
• Your surgeon’s pre-op clearance form
• A list of medications and dosages
• Past medical records, especially cardiac or pulmonary reports
• Recent lab results (if already completed)
• Any instructions provided by your surgeon
Having everything ready helps us complete your clearance efficiently.

6. Will I need lab work or additional testing?

Most surgeries require basic labs such as CBC, CMP, coagulation tests, and urinalysis. Depending on your age, medical history, and type of surgery, additional tests may include:
• EKG
• Chest X-ray
• Blood work including A1c level (for diabetic risk evaluation)
We follow your surgeon’s specific protocol.

7. Can I be denied clearance?

If a medical issue poses a risk during surgery—such as uncontrolled hypertension, abnormal EKG findings, active infection, or poorly controlled diabetes—the provider may delay clearance until the issue is addressed. You’ll receive clear instructions on next steps and treatment options.

8. Do I need to stop taking any medications before my exam or surgery?

Some medications—such as blood thinners, certain diabetes medications, or supplements—may need to be stopped or adjusted before surgery. Your provider will review your medication list and coordinate with your surgeon to give you specific guidance.

9. How long does the pre-surgical exam take?

The exam itself usually takes 20–40 minutes, but time may vary depending on required testing. If labs, EKGs, or X-rays are needed, the visit may take longer or require a follow-up appointment.

10. Will you send my clearance results directly to my surgeon?

Yes. Once your exam and any required test results are complete, we send all documentation—exam findings, lab results, EKGs, and clearance letters—directly to your surgeon’s office. You can also request a copy for your own records.

11. Does insurance cover pre-surgical clearance?

Most insurance plans cover medically necessary pre-operative evaluations and testing. Coverage may vary, especially if your surgeon requests specialized or non-routine tests. Our office can help verify your benefits and provide cost information before your visit.

12. What if my surgery is scheduled urgently?

We accommodate urgent and time-sensitive clearances whenever possible. If you have an upcoming procedure that requires rapid evaluation, notify our office immediately so we can prioritize your exam and required testing.

13. What does a pre-surgical exam include?

Vitals, physical exam, EKG (if needed), lab work, medication review, and risk assessment.

14. How soon before surgery should I schedule the exam?

Typically 1–2 weeks before surgery to allow time for review and any necessary follow-up.

15. Will my surgeon receive the results?

Yes. Reports are sent directly to the surgeon or surgical center.

Acute and Chronic Care Management

Diabetes Management

1. What are common symptoms?

Increased thirst, frequent urination, fatigue, blurry vision.

2. How often should I check blood sugar?

Depends on your treatment plan and whether you use insulin.

3. Can prediabetes be reversed?

Lifestyle changes are effective and may prevent progression.

Hypertension (High Blood Pressure)

1. What causes high blood pressure?

Genetics, diet, stress, inactivity, and underlying disease.

2. Is hypertension curable?

Typically managed long-term rather than cured.

3. Do borderline levels require medication?

Depends on cardiovascular risk factors and progression.

Asthma

1. What triggers asthma?

Allergens, pollution, cold air, exercise, illness.

2. How often should I use a rescue inhaler?

Only during symptoms; frequent use indicates poor control.

3. Can asthma resolve over time?

Symptoms may improve but long-term management is common.

Heart Disease

1. What are early signs?

Chest discomfort, fatigue, shortness of breath, swelling.

2. Should I be screened even without symptoms?

Yes, if you have risk factors such as diabetes or hypertension.

3. Can lifestyle changes reverse it?

They improve heart function and reduce risk; medication often remains necessary.

High Cholesterol (Hyperlipidemia)

1. Is high cholesterol genetic?

Yes; hereditary lipid disorders are common.

2. Do I need medication even if I eat well?

Many patients require both lifestyle changes and medication.

3. How often should levels be checked?

Every 6–12 months depending on risk.

Eye Exams

1. How often should I get an eye exam?

Annually, or sooner if you have diabetes or vision symptoms.

2. Why important for diabetics?

They detect early retinal damage before vision changes occur.

2.Can high blood pressure affect vision?

Yes, through hypertensive retinopathy and optic nerve changes.

Adult and Pediatric Wellness

Preventative Care

1. Why is preventative care important?

It helps detect potential problems early, reduces long-term health risks, and supports healthier outcomes.

2. How often should children get preventative visits?

According to pediatric well-visit schedules, typically multiple times in the first years of life and annually thereafter.

3. Do adults need preventative visits even if they feel healthy?

Yes. Many conditions develop without symptoms.

Routine Check-Ups

1. What happens during a routine check-up?

A physical exam, vitals check, health history review, and discussion of any new concerns.

2. How often should I schedule check-ups?

Most patients benefit from annual check-ups unless otherwise advised.

3. Are routine visits necessary without chronic conditions?

Yes. They help identify concerns before symptoms appear.

Screenings

1. Which screenings do children need?

Vision, hearing, developmental, behavioral, anemia, and age-specific labs.

2. What screenings do adults require?

Blood pressure, cholesterol, glucose, cancer screenings (colon, breast, cervical), and mental health assessments.

3. How often are screenings repeated?

Frequency depends on age, risk factors, and results.

Annual Physicals

1. What is included in an annual physical?

Physical exam, vitals, labs, immunization review, risk assessment, and discussion of lifestyle habits.

2. Do children need yearly physicals?

Yes. They support healthy growth, school readiness, and early detection of concerns.

3. Do adults need an annual physical if they recently had labs?

Yes. Physicals assess more than lab values.

Vaccinations

1. Are vaccines safe?

Yes. They undergo extensive testing and continuous safety monitoring.

2. What vaccines do children need?

The standard immunization schedule includes vaccines for MMR, DTaP, polio, varicella, hepatitis, and others.

3. Do adults need vaccines?

Yes. Adults require boosters, flu vaccines, COVID vaccines, and age-based immunizations like shingles and pneumonia.

Lifestyle Counseling

1. What topics are covered?

Nutrition, exercise, mental wellbeing, sleep habits, substance prevention, and chronic disease risk reduction.

2. Do children benefit from lifestyle counseling?

Yes. Early guidance supports lifelong healthy habits.

3. Is counseling helpful for chronic conditions?

Lifestyle changes significantly affect conditions such as diabetes, hypertension, and obesity.

Minor Procedures and In-Office Treatments

Wound Care

1. When should I seek medical care for a wound?

If bleeding does not stop, the wound is deep, dirty, shows signs of infection, or requires closure.

2. How long does healing take?

Most minor wounds heal within 7–14 days depending on depth and location.

3. Do I need antibiotics?

Only if signs of infection are present or if the wound type requires prevention.

Suturing (Laceration Repair)

1. How do I know if a cut needs stitches?

If edges won’t close, the wound is longer than ½ inch, or it exposes deeper tissue.

2. How long do stitches stay in?

Typically 5–14 days depending on the location.

3. Can I get the wound wet?

Usually after 24–48 hours, depending on the repair.

Mole Removal

1. When should a mole be removed?

If it changes in size, shape, or color, becomes painful, bleeds, or is cosmetically bothersome.

2. Will removal leave a scar?

A small scar is possible but minimized with proper technique.

3. Is pathology testing included?

Suspicious moles are sent for laboratory evaluation.

Skin Tag Excision

1. Are skin tags harmful?

They are benign and harmless unless irritated.

2. Can I remove them at home?

Home removal increases infection and scarring risk.

3. Does removal hurt?

Most procedures use local anesthesia and are well tolerated.

Joint Injections

1. What conditions benefit from joint injections?

Arthritis, bursitis, tendinitis, and joint inflammation.

2. How long does relief last?

Relief can last weeks to months depending on the condition.

3. Are injections safe?

Complications are rare when performed correctly.

Women’s Wellness

Well-Woman Exam

1. What is included in a well-woman exam?
A physical exam, pelvic exam, breast exam, Pap smear (as indicated), vaccinations, and health counseling.

2. How often should I have one?
Once per year, unless otherwise recommended.

3. Do I need a Pap every year?
Frequency varies by age and history.

Gynecological Exams

1. Are gynecological exams painful?
They can be briefly uncomfortable, but most patients tolerate them well.

2. When should I schedule one?
Annually or whenever symptoms arise.

3. Do I need one if I’m not sexually active?
Yes. Gynecologic health still requires monitoring.

Breast Cancer Screenings

1. When should I get a mammogram?
Typically starting at age 40, earlier based on risk.

2. Are mammograms safe?
Yes. Radiation exposure is minimal.

3. Do I need a screening every year?
Frequency depends on age and risk.

Pap Smear

1. How often is a Pap required?
Every 3–5 years depending on age and HPV testing.

2. Does a Pap smear hurt?
It may cause brief discomfort but is quick.

3. What if my Pap is abnormal?
Further testing such as HPV testing or colposcopy may be required.

Breast Exam

1. Do I still need breast exams if I get mammograms?
Yes. Both are important.

2. What if I find a lump?
Most lumps are benign, but all require evaluation.

3. How often should exams be performed?
Annually or more often if high risk.

Bone Density Scan

1. When should I get a bone density scan?

Usually at age 65, or earlier with risk factors.
Is the test painful?

No. It is quick and noninvasive.

How often is it repeated?
Every 1–2 years depending on results.

Menstrual Cycle Irregularities

1. What counts as irregular?
Cycles shorter than 21 days, longer than 35 days, or frequently changing patterns.

2. Can irregular cycles affect fertility?
Yes. They may indicate ovulation irregularities.

3. Should I worry about missed periods?
Evaluation is needed if cycles consistently change.

Pelvic or Menstrual Pain

1. Is severe cramping normal?
Mild discomfort can be normal; severe or disruptive pain requires evaluation.

2. Can pelvic pain be treated without surgery?
Yes. Most cases respond to medication or hormonal therapy.

3. What tests might be needed?
Pelvic exam, ultrasound, and labs.

Urinary Tract Infection (UTI)

1. What are common symptoms?
Burning during urination, frequent urination, and pressure in the lower abdomen.

2. Do UTIs require antibiotics?
Most bacterial UTIs do.

3. Can UTIs be prevented?
Hydration and good bathroom habits help.

Yeast Infections

1. What triggers a yeast infection?
Antibiotics, hormones, moisture, or immune changes.

2. Can they recur?
Yes. Persistent cases may need extended treatment.

3. Are over-the-counter treatments effective?
Often, but medical confirmation is recommended.

Contraception Counseling

1. What options are available?
Pills, patches, rings, injections, IUDs, and implants.

2. Is birth control safe?
Yes. Most methods are widely used and well tolerated.

3. Does birth control help with acne or cramps?
Some methods improve these symptoms.

Menopausal Support

1. What are common symptoms of menopause?
Hot flashes, irregular periods, dryness, mood shifts, and sleep disturbances.

2. Is hormone therapy safe?
It is safe for many women but requires individualized evaluation.

3. How long do symptoms last?
Varies widely; many experience symptoms for several years.

Weight Loss

1. How much weight can I expect to lose?
Most patients lose between 10–20% of their starting weight over several months with medications like semaglutide or tirzepatide, especially when combined with lifestyle changes.
 
2. Are GLP-1 medications safe?
Yes. When prescribed and monitored by a physician, GLP-1 medications are considered safe. Side effects are usually mild and temporary.
 
3. Do I have to take injections?
Not necessarily. Semaglutide is available in both injections and pills. Tirzepatide is currently only available as an injection.
 
4. Will I gain weight back if I stop?
Like with any treatment, maintaining weight loss requires lifestyle support. Some patients may regain weight if they stop medication, but our program emphasizes building sustainable habits that last.
 
5. Does insurance cover these medications?
Coverage varies. The team at Accura Health can help verify your insurance benefits and explore assistance programs if needed.

Why Annual Wellness Exams Matter

Learn how scheduling your annual wellness exam at Accura Health supports prevention, early detection, and long-term health.