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Patient First

When we opened our first facility in Richmond, Virginia, in 1981, our vision was to make access to quality medical care as convenient and cost-effective as possible for the patient. To make the vision a reality, we adopted many innovative operating systems and practices that were practically unheard of at the time and which are continued today:

All Patient First centers are open each and every day of the year - including weekends and holidays. Patients often need immediate medical attention on days when many other facilities are closed.

The centers are open from 8 am to 10 pm so patients can come at times that best fit their schedules.

No appointments are necessary. You can walk right in to a Patient First and receive prompt attention upon arrival. If you prefer, however, you can call ahead to see when a particular physician will be available.

X-rays, lab tests, and most prescriptions are available on site to save time and reduce the need for extra trips.

These innovations, along with our commitment to an excellent medical staff and quality of care, have met with wide acceptance, allowing Patient First to expand considerably over the years. Patient First now offers both primary and urgent care services and participates in most insurance and managed care plans. There are currently fourteen Patient First centers operating in Virginia - eight in Richmond and six in the Tidewater, Virginia, areas. A recent expansion in Baltimore brings the total number of facilities serving this metropolitan area up to five.


Full Time Benefits Full Time Virginia: Center Staff Regional 30-40 Hours 40 Hours Maryland: Center Staff 32-40 Hours Employed to work every other weekend, rotate day and evening shifts. Center employees are required to work holidays as needed. Full Time Health insurance plans available include:
  • Cigna PPO
  • Cigna HMO/EEP
  • Dental Plan
  • Vision Plan
  • Short term disability
  • Long term disability
  • Baby benefit program
  • Life insurance
  • Flexible Spending accounts
  • 401(k) Retirement plan
  • Long term care
  • Paid annual leave (PAL) with accrual Double time compensation for holidays worked at a center Medical treatment at any Patient First location Hepatitis B vaccination series is offered to center employees Bonuses: Recruitment Bonus Repeat Patient Bonus (center employees) Patient Volume Bonus (center employees) Weekend Bonus (center employees) Equal Opportunity Employer Patient First does not discriminate on the basis of race, color, national origin, sex, age, or disability in employment or provision of services.

  • Services

    Our Responsibility as a Primary Care Physician
    It is our responsibility to help patients who select us as their primary care physician to live the healthiest life possible. We will help patients achieve this goal by providing them with a full range of high quality preventative, primary, and urgent care services. When necessary, we will refer them to the appropriate specialist. [We do not serve as a primary care physician for patients under the age of seven.]

    Health Benefits Plan Guidelines
    Each managed care plan has its own rules and regulations for both physicians and patients, but the following are general guidelines that apply to all plans.

    Urgent Problems
    Regardless of which Patient First physician you select as your primary care physician, you may visit any Patient First physician at any Patient First center at any time for urgent problems.

    Emergency Care
    If you feel you are experiencing a life-threatening emergency, please go to the nearest hospital emergency room, or dial 911. If you feel you need to visit a hospital emergency room for any other reason between 8 am and 10 pm, please speak in advance with a Patient First physician on duty at your center of record. Between 10 pm and 8 am, please call the center for instructions on how to reach the on-call Patient First physician to request a referral. The Patient First physician may authorize a referral or may advise you to come to Patient First to be seen.

    If you are seen at an emergency room for a non life-threatening problem without having obtained a referral in advance, your insurance plan may not pay for the visit. Most insurance plans do not allow retroactive referrals. Your insurance plan will determine what it will pay.

    Chronic Conditions
    If you have an ongoing medical condition like high blood pressure or diabetes, you should try to see the same Patient First physician each time. Ongoing conditions are best handled by a single physician. Feel free to call the center to determine your primary care physician's work schedule.

    In general, you must be evaluated by a Patient First physician for any problem before a referral to a specialist will be given. Please consult your insurance plan for exceptions to this rule. If your Patient First physician refers you to a specialist, please call the Patient First Referral Center at (800) 370-8179 at least two weekdays prior to your appointment so that approval for your visit with the specialist can be obtained from your insurance company. If you do not have your visit approved in advance, your insurance plan may reduce the payment or may not pay for the specialty services.

    Hormone injections (including Depo-Provera), allergy injections, and Vitamin B12 injections are routinely administered at Patient First. You may receive a referral for an initial evaluation for allergy testing at the allergist's office, but you will be expected to return to Patient First for routine injections.

    Patient First physicians practice in the office setting only. If you need hospital care, we will arrange for a specialist to care for you during your hospital stay. That physician will follow you and keep your primary care physician up-to-date on your progress.

    Most managed care plans require that you make a co-payment each time you visit your PCP for evaluation or care. Co-payment amounts vary with different policies and may change depending upon the circumstances of a visit: time of day, day of week and visit type (medical or injury). These payments are your responsibility and are due at the time of service.

    Please consult your individual insurance policy for a complete explanation.