The first assessment occurs when the referral letter or email is received. Patients are triaged according to the current triage policy, and appointments are made by return phone call either by a receptionist or a nurse practitioner. We do our best to get this done within a few days of the receipt of this referral.·In nearly all cases an appointment is made with one of the physicians in the clinic.

An initial appointment is usually made for 45 minutes. The more information that is collected prior to the consultation the less time required during the consultation for menial tasks such as data collection and the more time for explanation, discussion and question time.