Sixty minutes is usual for NP appointments. Most practices have NPs go to hygiene first. Then the doctor does the exam after the hygiene visit is complete. If it’s an extensive case, schedule a separate appointment for the consult. Emergency new patients are put in wherever there's possible time. Inform emergency patients they may have to wait up to an hour, sometimes more, to fit them in. Do not include hygiene time. Fix the problem, then appointment for their hygiene appointment if possible.