There are certain insurances that my practice doesn’t participate in. This may change from time to time and it is best to contact our office for that information.. Consult request must include the reason for consult, notes, lab and imaging reports. 2nd opinions and transfers of cares are done on a case by case basis. All initial visits must be done at my town office. A patient can see me at my Wednesday afternoon clinics in Waipahu thereafter if he/she desires.. .