Frequently Asked Questions

Call (475) 314-3113, email docwaltzer@aprmsolutions.com, or submit the appointment request form on the Contact page. A team member confirms the details with you, so a submitted request is not a confirmed booking until you hear back.

APRM Solutions is located in Shelton, Connecticut, serving patients from communities across New Haven and Fairfield Counties. Call the office for the current address and directions.

The practice is currently open Tuesday 12:00 PM to 8:00 PM, and Thursday and Friday 9:00 AM to 6:00 PM. Hours may change, so call to confirm current availability before your visit.

Yes, the practice welcomes new patients across its services. Call or submit a request and the team will confirm next steps.

Not necessarily. You can book IV therapy, NAD+ therapy or an exam as a standalone service without being a primary care patient. The team coordinates primary care with the practice's other services and will tell you which option fits your situation.

A conversation about your health history and goals, vital signs, a focused exam where appropriate, and a care plan you understand. Bring a photo ID, insurance card, medication list and any recent records.

Many follow-ups and medication discussions can happen virtually. Physical exams and first-visit assessments that require hands-on care happen in person. See the Telemedicine page for details.

The right schedule depends on your age, health conditions and risk factors. Preventive visits are a core part of primary care at the practice, and the team recommends a cadence that fits your situation during your visit.

Nutritional IV therapy delivers fluids, vitamins and minerals directly into the bloodstream through an IV, under medical supervision. It is a wellness service, not a treatment for any disease, and it starts with an evaluation.

Coverage varies by plan and service. Insurance-based nutritional IV therapy is a focus of the practice; call and the team will check your eligibility for the specific service.

NAD+ therapy is the supervised administration of the coenzyme NAD+ by IV or intramuscular injection for wellness goals. It is an emerging area of research and is not FDA-approved to treat any disease.

Through a medical consultation. The team reviews your history, medications and goals, then gives you an honest answer about whether NAD+ fits your situation.

Session time depends on the formulation and the volume of fluid. The team gives you an accurate estimate at your consultation so you can plan the visit.

Suitability is decided individually. The medical team reviews your health history, medications and goals first, and some people are not good candidates. The consultation answers this question for you specifically.

You relax in a recliner in the infusion space while the drip runs over a measured period, with the medical team nearby. It is normal to discuss sensations and comfort during the session; some people notice mild sensations such as warmth or a flushed feeling.

Many cell-based and tissue-based regenerative products are not FDA-approved for the wellness uses for which they are marketed. The team clearly distinguishes what is established from what is experimental.

No. Peptides are evaluated case by case, prescribed only when appropriate, and monitored with follow-up. The clinic does not publish a catalog or promise results.

Peptides are short chains of amino acids, the building blocks of proteins. Some peptides occur naturally in the body and act as signaling molecules. A number of peptide-based medications are FDA-approved for specific conditions, while many others are studied or marketed for wellness uses without FDA approval.

Your blood is drawn, processed to concentrate platelets and growth factors, and then administered according to your plan, sometimes by IV. Because it uses your own blood, it avoids some allergy and compatibility concerns, though risks still exist.

No. Outcomes depend on many individual factors. The program provides an evaluation, an individualized plan and professional follow-up, and it adjusts when something is not working.

No. Medications are considered only when clinically appropriate and prescribed by the treating clinician after evaluation.

It starts with an evaluation: health history, medications, relevant labs and your goals. The team then builds an individualized plan that may include nutrition guidance, activity planning, behavioral support and, when appropriate, FDA-approved weight-management medications. Progress is reviewed at follow-up visits.

Yes. Many patients coordinate weight management with primary care, IV therapy or NAD+ therapy. One team keeps the whole picture consistent.

A valid driver's license, current medication list, corrective lenses or hearing aids if used, relevant medical records, and your most recent Medical Examiner's Certificate if renewing.

Up to 24 months; the examiner may issue a shorter certificate when a condition needs monitoring.

Blood pressure, diabetes, vision, hearing, heart conditions and certain medications all come into play. The certified Medical Examiner determines whether you meet the standards and whether monitoring is needed. Bringing accurate information is the best way to avoid surprises.

The examiner explains the reason and what would need to change to qualify, such as treating a condition or gathering additional records. Many drivers return to certification once the underlying issue is managed.

A government-issued photo ID, vaccination and immunization records, and any relevant medical records. The exam is completed by a USCIS-designated civil surgeon on Form I-693.

No. The civil surgeon seals the form, and it must be submitted unopened with your application or as USCIS directs.

A medical history and physical exam, tuberculosis screening, certain blood tests, and a review of your vaccination record against USCIS requirements. The civil surgeon completes, signs and seals Form I-693 at the end.

No. It is the medical examination USCIS requires for many immigration applications, completed by a USCIS-designated civil surgeon and reported on Form I-693. Its components follow USCIS requirements, which differ from a routine physical.

The practice participates with several major carriers, including Aetna, Anthem Blue Cross Blue Shield, Cigna, UnitedHealthcare and Medicare. Coverage depends on your plan and the specific service; the team verifies eligibility before you book.

Often not. Accepting insurance does not mean every service is covered. The team will check your plan for the specific service and explain what to expect.

The team handles billing for participating plans where applicable and will explain the process at checkout. For non-covered or elective services, you will know costs before you commit.

You receive a private video link for your scheduled visit, join from your phone, tablet or computer, and speak with the team as you would in the office. A quiet, private space with stable internet makes the visit smoother.

In many cases, yes. Medication discussions, including refill and dose questions, are among the visits the practice handles virtually. The team confirms which visits are suited to telemedicine when you book.

Yes. Routine blood work and screening tests are ordered when appropriate, and blood draws are done at the practice. The team explains results in plain language and tells you how to prepare before your draw.

The team reviews results with you in plain language, often at a follow-up visit or by telemedicine, and explains any next steps. Ask how your results will be shared when your test is ordered.