AV fistula creation

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.

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.

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.

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

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