Office-Based Procedures


Sound Family Medicine doctors and providers are qualified to provide a variety of minor surgical procedures in our clinics, rather than sending you to a hospital or surgery center. Having your procedure in-office can save you time and often money.

For most office-based procedures, we require a consultation appointment first, which will allow you and your provider to discuss your options and the right care approach.

Insurance companies require Prior Authorization forms to be completed and approved before the procedure. Please call us at our main line to schedule a consultation or appointment to get this process started.

Our in-office procedures include:


This permanent male birth control procedure blocks sperm from reaching the semen, preventing pregnancy. It is safe and highly effective.  This procedure is done relatively quick. Afterwards, you can expect some pain, swelling, and possibly bruising around the area of surgery, which should fully dissipate after about two weeks.

Before considering this procedure, it is important that the topic is thoroughly discussed, and you are absolutely sure you do not want to have children in the future.

You will also need to schedule a consultation appointment with your SFM provider first before the procedure is scheduled. Some insurance may require a waiting period between the consult and the procedure.


Circumcision is a simple, low-risk and commonly performed surgical procedure to remove the foreskin of the penis. Complications are extremely rare and avoidable by when performed by a competent, experienced doctor.

Scheduling a consultation appointment is needed, but for most patients, the consult can be done during a newborn check up appointment.

Birth Control and Intrauterine Devices (IUD)

Birth control procedures include intrauterine devices (IUD) and implantable contraception, like Nexplanon. Our health care providers are here to help you determine which method is best for you based on factors including your health history, age and future family plans.

For first time IUD implantation, you will need to set a consultation appointment with your SFM doctor or provider first.

For patients with existing birth control device implantation and will just need a replacement, a consultation appointment is no longer needed. Your provider’s care team will work with you to schedule an appointment to replace your device.

Biopsy or Removal of Skin Lesions

Most skin lesions are not cancerous; however, evaluation and diagnosis is important. Our providers evaluate the lesion in a systematic way to accurately diagnose and to distinguish those skin conditions that need a biopsy and possible further treatment. A consultation appointment is required for this procedure.

Tuberculosis Skin Test

All of our clinics are able to provide tuberculosis (TB) skin tests. These tests are common for people who have traveled outside the US or come into contact with people exposed to tuberculosis. The procedure takes a few minutes and then you will be required to return within 48 to 72 hours to have the results examined by a provider. Please call us to schedule an appointment to get the test done.

Cortisone Injections

Cortisone shots are injections designed to help relieve pain and inflammation in certain areas of the body, like joints and tendons. The injection can also treat inflammation throughout the body, like allergic reactions, asthma, and rheumatoid arthritis. We recommend scheduling a consultation appointment first for new or first-time cortisone injection requests.

Migraine Treatment

Your Sound Family Medicine primary care provider can assess and recommend a treatment plan or procedure for migraines. Please schedule a consultation appointment to discuss.

Toenail Removal

Toenail removals are common as a last resort when all or part of a toenail is infected, painful, or diseased, normally due to fungi. The procedure takes less than 20 minutes and uses a local anesthetic. We recommend calling in for a consultation appointment first to check what type of pain you are feeling in your toes and determine the potential source, however if you are in immediate pain, you may visit our walk-in clinic for toenail removal.

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Frequently Asked Questions

A consultation appointment is required so you can have a discussion with your provider to talk about the risks and benefits of a procedure, what to expect, and care plan for recovery and follow up

This is a process by most insurance companies to determine if the plan will cover a procedure or service. 

If your baby’s gender is a boy and you choose to have him circumcised, it is recommended to schedule this procedure when the baby is one to two weeks old.

Circumcision can be done within the first month of life. If you choose to have your baby circumcised, the procedure must be done prior to 30 days old in order to avoid a referral to an outside specialist closer to baby’s first birthday.  

Please verify with your insurance prior if they cover this procedure, as some health plans do not.  

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