General
Arteriovenous (AV) fistula creation
In-person visit

AV fistula creation

If an arteriovenous (AV) fistula has been recommended for dialysis access, a specialist can walk you through what's next. A General Medicine clinician reviews your history and builds a referral request, so your in-person visit starts without delay. If something's missing, we handle it before you go.

The right in-network specialist near you

In-person visit booked to fit your schedule

Ongoing coordinated care before and after

Visit options

We'll check any insurance and show you final pricing before you book.

In-person visit

With a clinician near you

$50

Typical copay. Without insurance varies.

+$45 clinical & coordination fees

Most insurance accepted

In-person specialists nationwide

All scheduling handled for you

Text for clinical guidance anytime

How in-person visits work

1

Browse local specialists

Tell us who you'd prefer, or let us choose — and we'll connect you with a local specialist in your area.

2

We schedule for you

After clinical review, you'll get an official referral. From there, we'll book the earliest appointment that fits your schedule and preferences, and send you the details within 2 business days.

3

Your in-person team is fully prepped

We share your health history ahead of time. And if anything comes up before or after your visit, we're a text away.

4

Get ongoing support anytime

Medications, labs, follow-ups, and referrals — we can coordinate it all. And because your history moves with you, you're never starting from scratch.

All your care in one place. That’s the General Medicine difference.

We help you understand your options, connect you to the right clinicians, manage prescriptions, coordinate any needed evaluations, and keep an eye on your overall health along the way. It’s comprehensive care that looks at the full picture — your goals, your history, your lifestyle — and makes it simple to move forward with confidence.

Your care plan
Clinician

What to know before your AV fistula creation

If you've already had a an evaluation for hemodialysis access, we'll make sure your specialist has it before your visit, so they can walk you through what it means right away. If you haven't had that evaluation yet, we'll help you figure out the right next step.

AV fistula creation connects an artery and vein, usually in the arm, to create reliable access for dialysis, under local or regional anesthesia

The fistula needs several weeks to mature before it can be used for dialysis

Your specialist will also go over risks, alternatives, and answer your questions before anything is decided

Not sure if this is the right next step for you?

Book a visit with a General Medicine clinician first — and they'll help you figure out what's next.

What our customers say about in-person visits

Hear from people who've had General Medicine match them with the right specialist — and stay in their corner every step of the way.

I had low testosterone all the way around so I wanted a referral so I could get properly tested. I'm now getting what I need and leaving my primary care doc in the weeds.

Geoff

General Medicine reached out to a local neurologist for me and got me an in-person appointment for the same week. My PCP through General Medicine continued to reach out to me to follow up, and I felt very supported the entire time.

Cait

They always treat me with respect and do their best to get me treated quickly. They arrange for all tests and doctor visits when they refer you to specialists. Plus, they take my Medicaid insurance!

Jayme

Get your AV fistula scheduled.

Frequently asked questions

Do I need a referral to book?

Whether virtual or in person, you never need a referral before booking a visit with General Medicine. For in-person visits, we reach out to specialists near you to schedule your appointment. Tell us who you'd prefer, or let us choose for you — either way, we confirm they're in-network before booking. If that specialist requires a referral, our clinical team reviews your health history and symptoms, and if it all lines up, creates a referral for you before we book. That referral is yours to keep, whether we book for you or you take it somewhere else.

How does pricing work?

Before checkout, you'll see an estimated cash and insurance price based on your specialist and plan, but you won't pay until your visit — and that amount may shift with your care needs. All you pay today is $45. $15 covers a General Medicine clinician reviewing your info and providing a referral. $30 covers scheduling coordination: confirming the specialist's in-network, booking a time that works for you, and sending your history ahead. These fees aren't covered by insurance, but are FSA/HSA eligible.

Does this visit include the actual procedure?

This visit gets you seen and evaluated by a specialist who can perform the procedure. If the procedure is the right choice for you, they'll guide you through what's next.

How long before the fistula can be used?

Usually several weeks to mature enough for dialysis. Your surgeon will confirm when it's ready.

What if my veins aren't suitable for a fistula?

Your specialist confirms this during the visit — if a fistula isn't the right option, they'll walk you through alternatives like a graft.