Patient Office Resources

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What you need to know about your office visit

What should you bring to your appointment

  • Health Insurance Card/Information
  • Driver's license or picture identification
  • If needed, a friend or family member to take notes/help with questions
  • A list of all medications you are taking
  • A list of your questions /concerns
  • A copy of your imaging films or CD and copies of reports
  • Copies of records from doctors related to your visit with us
  • New Patient Portal (completed online)
  • Click here to enter our secure patient portal - This secure web site will allow you to complete much of your patient information paperwork online, saving you time on the day of your appointment. Once you login, you can update personal information, change your email address and password, and complete online patient forms and surveys.

Please arrive 30 minutes early to your first appointment. *Please feel free to call our staff for directions. We can send them via e-mail, fax them to you or give them to you over the phone.

Payment is due at the time of service. Your portion (including deductible, co-pay, or patient percentage) is determined by your insurance company. Please contact your insurance company if you have any questions regarding your financial responsibility as outlined in your policy.

Please also verify which office your appointment is actually scheduled for as we have several different locations.

Office Cancellation Policy

Patients who do not keep their appointments or provide 24 hour notice of cancellation will be subject to a charge of $25.00. This fee will be applied after the second missed appointment or second failure to provide 24 hour notice of cancellation within a 12 month period. This is not a billable charge to any insurance company and is the responsibility of the patient.

If a patient misses or cancels 3 times, we reserve the right to dismiss that patient from the care of Walter X. Loyola, M.D.

Medication Prescription and Refill Policy

As a reminder to our patients, this is a surgical practice. It is not our policy to prescribe pain medications on a long term basis. Pain medications are prescribed in the immediate postoperative period.

You must only receive pain medication from one physician. Requests and/or refills for medications will be accepted only from your pharmacy during our regular office hours from 8:30 AM - 3:00 PM Monday-Thursday and 8:30 A.M. - 12:00 PM Friday. If your request is received after 2:00 PM, Monday-Thursday or after 11:30 AM Friday it will be processed the following business day.

Absolutely no refills will be authorized on Saturday or Sunday.

Surgery Instructions

Pre-Operative Instructions

  • Medications:
    • Do not take any blood thinners (coumadin, warfarin, plavix, aspirin) for 7 days before surgery.
      Do not take any anti-inflammatory medications (naprosyn, etodolac, ibuprofen, etc.) for 5 days before surgery.
      If you are diabetic, do not take any insulin or oral diabetes medications the night before or day of surgery.
      Please call the office if you are unsure about which medications you may take before surgery.
  • Films:
    • Please bring your X-rays/MRIs/CT scans to our office at least two (2) days prior to surgery. This helps us verify our plan and perform your surgery.
  • Pre-Operative Testing:
    • You will need to have some blood work, a chest X-ray and EKG (heart tracing) done within 7 days of your surgery. These tests allow us to provide you with the proper care during and immediately after surgery. These will be done at your primary care physician office or at the hospital where you will have your surgery.
    • You may be asked to get “clearance” from your primary care physician or a cardiologist to have surgery, if you have certain medical conditions or if any of your pre-operative tests are abnormal. Unfortunately, this sometimes means we have to reschedule your surgery. Please understand that we are only concerned about your safety.
  • On the Day of Surgery:
    • Arrive at the hospital approximately 2 hours before your surgery time.
    • Shower with an antibacterial soap the morning of the surgery.
    • Further blood work or testing may be performed when you arrive.
    • You will be asked to sign a consent form for the surgery, anesthesia and blood transfusion. It is very rare that a blood transfusion is required, but we ask that you consent to us giving you blood products in a critical situation.
    • Your family will wait in the surgery waiting area while you are in the operating room. After surgery, Dr. Loyola will update them on your status.
  • Questions:
    • Call our office at (972) 312-0607 with any further questions or concerns.

Post-Op Discharge Instructions

  • Medications:
    • Take pain medications as prescribed. Do not wait until your pain is severe to take medications.
      Common side effects of pain medications are: constipation, fatigue and nausea.
    • Do not take any other pain medications than what were prescribed to you by our office, unless approved by Dr. Loyola.
    • Do not take any blood thinners (coumadin, warfarin, plavix, aspirin) for 5 days after surgery. If you have questions regarding which medications you may resume, please ask our office.
  • Activity:
    • Do not lift more than 10 pounds.
    • Do not drive until cleared at your post-op appointment.(Please call sooner if questions)
    • Take short walks and frequent rest breaks.
    • Wear your brace/collar when out of bed, if ordered to do so.
    • If needed, physical therapy will be ordered at your first post-op visit. The duration is usually 2-3 X’s per week for one month.
  • Wound Care:
    • Keep the incision dry while showering for 5 days after surgery. After that, you may let water from the shower run down the incision.
    • Do not sit it water (pool, tub) if you have had back surgery.
    • Do not apply ointments or cleansers to wound.
    • Change the dressing daily for the first 3 days, then you may leave it open to air.
    • Your staples, stitches and/or steri-strips will be removed at your first post-op visit.
  • Notify Our Office If You Experience:
    • Redness, swelling or drainage from the wound
    • Fever > 101F
    • Increased pain, numbness or tingling in your arms or legs
    • Loss of bowel or bladder control

Follow-Up Appointments:

Please make sure you have scheduled your first post-op appointment for at least 14 days from the date of surgery.


Call our office at (972) 312-0607 with any further questions or concerns.

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