- Please be on time for your appointment. Being late or last-minute cancellation will cause severe scheduling disruptions, which can interfere with the quality of care you and other patients receive.
- Please do not wear strong perfumers or colognes. We see many patients with allergies or respiratory problems. Strong scents can impair their progress.
- All appointments must be canceled or rescheduled prior to 24 hours of the appointment to avoid a cancellation fee of $25.00. Continued cancellations or missed appointments may also result in being released from care.
- Children are welcome here as patients. If you bring children with you for your appointment, you are responsible for their actions at all times. Out staff will assist you with your well-behaved children.
- We may schedule you for multiple appointments. This will help ensure convenient appointment times for you, as well as provide you with the highest level of care possible.
- If you need to spend extra time discussing your health concerns with your doctor, please let our staff know, so we may schedule your next appointment accordingly.
- Please notify your doctor of any changes in your health status, regardless of the significance.
- We accept the following forms of payment: cash, check, debit, credit (MasterCard / Visa).
- Payment is expected at the time of visit unless other arrangements have been documented.
- The patient is always responsible for the payment of their care. An insurance contract is between the patient and the insurance company.
- Insurance coverage is never guaranteed. If there are any problems between the insurance company and the patient, the latter may file a grievance directly with your insurance company. Your signature below assigns assignment to this office for collection of benefits and authorizes this office to release daily chart notes when necessary for the processing of claims.
- The Office Manager may approve account balances. Active monthly payments are required. Accounts with balances 30 days past due may be charged a service fee of 12% per year, compounded monthly.
- Any account where no payment has been received for sixty days may be sent to a third-party collection agency. Any additional collection fees will be the responsibility of the patient. NSF checks or rejected credit card payments will be charged a $35 service fee per occurrence.
- We do offer a ‘time of service’ discount when services are paid in full at the time of the visit.
- We offer financing options for patients that opt for our correctional packages.
- Please feel free to ask us any financial question you may have. Our intent is to provide you with the highest level of service as well as care.
- Your insurance company determines benefits when they receive our billings. Any statements made by our staff regarding your coverage in no way guarantees that your care here will be covered by your insurance company, and you will be responsible for your account, regardless of insurance.