Attention all primary care patients. Obamacare now requires us to keep you up to date on your preventive screening and annual wellness exams. You must either be seen or sign a refusal for our files. Obamacare is auditing physicians now and takes back 5% of our Medicare payments at the end of the year if we don’t comply. If you wish to schedule, please call the front desk (760)327-8755 . If you wish to refuse, please come into the office and sign the documents. Thank you.