If you have increased symptoms please call our office. When you call the office, please be sure you explain to the office staff that you are having an increase in symptoms. The office staff will pull your chart and contact your therapist or a covering therapist. We will be able to review the information and will give you a call back that same day. After we discuss the case with you, we will be able to give you guidelines as to what would be appropriate to reduce your symptoms, whether you need to come in our office, or if you should contact or follow up with your physician if you were referred by one. It is best to call us prior to calling your physician as if a change in symptoms has occurred, it is important that we fax the physician a report so that she can be up-to-date on your care when you see her for a follow-up visit.