Office Policies

Appointments

• Please arrive at least 15 minutes prior to your scheduled appointment time. Patients arriving late to their appointment may be rescheduled.
• Our office does require at least 24 hours notice of appointment cancellations. If you need to cancel or reschedule your appointment and DO NOT notify our office of this by the end of the day prior to your scheduled appointment, you will be charged a $50.00 no-show fee. This policy is implemented in consideration of patients we have on our waiting list.
• A credit card number is required to scheduled all new patient appointments. The credit card will be charged $50.00 if you DO NOT notify our office of any cancellations at least 24 hours in advance of your appointment. Otherwise, there will be no charge to the credit card. The card number is kept securely on file and all the information is destroyed once you arrive for your appointment.
• Occasionally, our office must cancel and/or reschedule appointments because the doctor must attend to an emergency outside the office. In these instances, we try our best to notify patients in advance of their appointment time, so please provide our office with a number where we can best reach you on short notice between the hours of 9am and 5pm.

Payment

• All copays and outstanding balances are due at the time of your visit. If you are unable to pay your copay and/or your balance at the time of your visit, you may be asked to reschedule.
• If you have an HSA (Health Savings Account) or insurance plan with a deductible, you are required to pay for our services at the time of your visit.
• Our office bills your insurance company as a courtesy. If your insurance does not pay for your visit, you will be financially responsible for payment. Because insurance companies often change benefits and guidelines, it is in your best interest to check with your insurance ahead of time to see if your visit will be covered.
• The bank charges our office a $30.00 fee for all uncleared checks that are returned to us. This charge will be passed on to you in addition to the value of your check.

Records & Forms

• Medical records are the property, responsibility and confidentiality of our office. If you need a copy of your records for yourself or another party, you will be responsible for the cost of production and certified postage. Our office charges a $25.00 fee for the copying of records up to the first 10 pages, and $0.25 per page thereafter.
• Our office charges a $30.00 fee for all forms that our office completes for you. This includes, but is not limited to, disability forms, work-related forms and leave of absence forms.
• If for any reason your care is terminated by one of the physicians in our practice, you WILL NOT be allowed to return to see any other affiliated physician in our practice.