Yes! In order to save even more time, you can complete the Medical History Form  the HIPPA privacy policy and sign the Medicare Opt-Out Agreement and either fax or email it back to us. Otherwise Dr. Segler will go over it with you as soon as he gets to your home or San Francisco office for the house call appointment.

Absolutely! Any patient previously treated by the doctor can receive refills on existing non-narcotic prescriptions over the phone for a small fee. We cannot offer prescription refills for patients who have not yet received direct care from our physician. It is against California state law to prescribe any medication over the phone without an examination. Existing patients may call the doctor directly to request prescription refills.

Of course! We believe direct access to the doctor is an important component of quality health care. All of our patients are given the cell phone number and personal email of our podiatric physician and surgeon. As a Doc On The Run client, you have the ability to get the answers you need, whenever you need, by phone, email or in person through an house call.

Yes! The Medicare Opt-Out Agreement form can be viewed, downloaded and printed by clicking on the Medicare Opt-Out Agreement link. This form MUST be completed by any patient enrolled in Medicare. Please speak with our designated Privacy Officer if you have any questions.

Yes! The short form of the HIPPA privacy policy can be viewed, downloaded and printed by clicking on the HIPPA Policy link. Feel free to speak directly to our designated Privacy Officer if you have any questions.

All you need to do is call our appointment line at (415) 308-0833. We will then discuss your foot problem and schedule the house call to fit with your schedule.

In order to provide you with the highest level of service and convenience, we maintain a direct-practice model. We offer extended office visits, email and telephone access to our podiatric physician and surgeon, and house calls to treat a range of foot conditions. We are a fee-for-service practice. Payment for visits may be made with check, cash, Visa, Mastercard, or Paypal. Some patients also choose to pay with their flexible spending accounts (FSAs), health reimbursement accounts (HRAs) or health savings accounts (HSAs) to pay for services. Check with your accountant to determine the tax advantages of these methods of payment for health-related services.

 
I’m Dr. Christopher Segler and one of the questions I get frequently is “what is athlete’s foot?” “What does athlete’s foot have to do with toenail fungus?”

Because patients will call me and they will say, “I don’t really care about the skin, I just want my toenails to look normal again.” And if you want your toenails to look normal you have to get rid of the fungus; that means the fungus in the nails and other sources as well.

Athletes foot is really nothing more than the same organism infecting the toenails getting into the skin. You see these little peeling areas, circulars areas, little areas of damage where the skin has been peeling? That’s athletes foot.

What it is is the fungus is growing in the skin. As it expands the fungal filaments suck the moisture out of the skin and that causes the dry peeling areas that you see as athletes foot.

And don’t be fooled by the myths. Just because it doesn’t itch or burn doesn’t mean that you don’t have athletes foot.

So if you have any little circular peeling areas on the bottom of the foot or between the toes you need to address that! You have got to do something about it before you start treating the nails to make sure that the nail don’t get reinfected!

Otherwise if you go get a laser treatment and kill all the fungus in the nails, the fungus and the toenail fungus spores will get back into the nails and cause another toenail infection and then you won’t have success. You will still have discolored toenails.

So make sure you treat the skin completely in order to get rid of all the fungus in the skin before you try treat the toenails. That’s really important!

In the vast majority of cases, we can have the doctor at your home in less time than it would take for you to get to the Emergency Room and see a doctor. You just simply wait in the comfort of your own home. We offer house calls 24 hours a day, every day.

By offering a fee-for-service arrangement we are able to offer conveniences that are just not possible in a Medicare-type practice. We offer house calls, day and night, after hours emergency treatment, and home visits on the weekend. We also offer direct telephone and email access 24/7 to the doctor. In addition, by not accepting Medicare, we are able to offer discount membership packages for preventative services like diabetic foot care, palliative callus removal, and trimming of toenails. We are also able to perform these services as often as you need them, without waiting for months, like Medicare rules mandate. Patients who have Medicare but choose Doc On The Run simply realize there is great value in placing patient comfort and needs ahead of cumbersome regulations. When a patient is in pain, “rules” don’t always fit with what a patient needs most. Simply put, we provide whatever our patients need most.

No, our podiatric physician has chosen to opt-out of Medicare.  This allow patients access to extended visits, enhanced services not covered by Medicare, and extraordinary conveniences. We will not bill Medicare for your visit or treatment. Our patients are not permitted to bill Medicare for services provided by any provider who has chosen to opt-out of Medicare. In fact, if you have Medicare, you must read and sign the Medicare Opt-Out Agreement at your initial visit and then at each renewal period.

Insurance companies (especially PPO plans) will often reimburse a large portion of house call services as an “out-of-network” provider. At the conclusion of your visit, we will provide you with a complete itemization of all charges that you paid for in a format known as a “superbill.” The superbill will outline all of the required diagnosis codes (called ICD-9 and ICD-10 codes) and procedure codes (called CPT codes). With these codes that we provide for you, the insurance company will be able to process the insurance claim that you submit to them.