Vector Health Guidelines

“Good communication is good business.”

Phone use

We want to politely and directly answer all of your calls. Please have your questions or concerns clearly outlined so that we can expeditiously address them. Time is our most important resource. Dr. Perkinson is UNIQUELY directly available after hours to his patients if desired. Just call the office number to be directed how to reach him. Please use this access responsibly, for the benefit of all.


We find voicemail depersonalizing, obfuscating, and downright annoying.

Voicemail IS useful for managing prescription refill requests, and similar non-urgent issues. Give us your name, the medication that you want refilled, and we’ll get right on it.

Overnight voicemail is addressed the following business day. Daytime voicemail is addressed within the hour.

Medication refills

Our disdain for voicemail notwithstanding, please use it where possible for medication refill requests. Or you may email/text us securely. If urgent, speak with the staff. Give the pharmacy staff a few hours to fill any prescription after we’ve transmitted them.

Some medications (e.g. potentially habituating substances) do require closer surveillance than others. We’ll let you know. Vector Health will not “strong-arm” you into making a visit in order to get a refill (within reason, of course).


We understand that you’re busy, and that timing does not always work out. Give us a call, and let us know if you’re not going to make it. That way we can get someone else in! And let us know how we can better help you plan in the future.

Record fees

Vector Health distinguishes itself by not charging record transfer fees. We do encourage digital transfers where possible.


We accommodate existing patients who need a referral (e.g. follow-up with a cardiologist) without a visit, where possible. New patients or established patients who have as yet un-validated concerns will usually need to be seen by the Vector Health team first.

Medications requiring pre-authorization.

Vector Health distinguishes itself by not charging fees for these. It is an added burden to the staff, but if the medication is necessary, we will do our best to see that you get it.

Test Results

Patients are often anxious about pending blood test, imaging, or biopsy results. We know this and we understand. We’ll contact you by phone or secure email/text, per your preference, as soon as they arrive, usually with some reassuring explanation. They will also be available to those who opt to use the secure patient web portal. We only give your results to you, or those you designate. Please keep your contact information current!

Anxiety Medications

Anxiety and insomnia are very common conditions in our complex and highly interactive world. Unfortunately, reliance on medications alone for these conditions is very common as well. It is never wise to prescribe habituating (addictive) substances for chronic conditions. Consequently, expect significant resistance to requests for Xanax (alprazolam), Valium (diazepam), Restoril (temazepam), Ambien (zolpidem), Sonata (zaleplon), Lunesta (eszopiclone), and the like. [LINKS]

Pain Medications (opioids)

Chronic pain conditions are also all too common. Opioids, commonly and imprecisely termed “narcotics,” are used to treat chronic pain. However they are highly addictive and must be used with caution. Examples include hydrocodone, codeine, morphine, and hydromorphone. Similar restraint in prescribing these medications can be expected at Vector Health. Vector Health physician do not prescribe methadone or Suboxone (buprenorphine/naloxone).

Hyperactivity Medications

While habituating amphetamines like Vyvanse (lisdexamfetamine), Concerta (methylphenidate, long-acting), Adderall (amphetamine), and Ritalin (methylphenidate) clearly calm hyperactive children (without, however, documented scholastic improvement), the use in older adolescents and adults in this community is far more intermittent and/or recreational in general. Vector Health will limit prescriptions of these medications to children age 15 or less, and/or below 9th grade. We will prescribe Strattera (atomoxetine) through high school and college if need be. [LINKS]

Data Collection and Use

Data integrity and security is a priority at Vector Health. We transmit your health information with your approval. We use the cloud sparingly, and not for our local patient data. We employ two-factor authentication for system access. We are cautious in our coding and transmission to payers. We aspire to complete transparency about our recordkeeping.



Good communication typically ameliorates most business friction. Let us know of ANY concerns. We want to make this a better place for you and for us!