Office Policies
WELCOME
TO THE OFFICE
To
help you get acquainted with the office, we have prepared a few words about our
policies and fee schedules. Please
read this so that you understand the guidelines.
Your
Appointment:
Your
appointment is time set aside for you to see the Doctor.
We have a twenty-four (24) hour cancellation policy. If you cancel
an appointment less than 24 hours prior to its scheduled time, you will be
billed the entire visit fee. A
message may be left on our answering machine at any time to cancel your
appointment. The earlier you can
inform us of a change in your plans, the better chance we have of accommodating
another patient. We also respect
your time and make every effort to be punctual for your appointment.
Fragrances:
Some
of our patients are allergic to perfumes and hair sprays. We would
appreciate it if you refrain from wearing these to the office.
Fees
& Payment:
·
The office accepts Aetna, Anthem/Blue Cross Blue Shield, Humana, Medicare,
Sloan's Lake/Cofinity and United
Healthcare insurances. A copay will be collected at the time of your
visit. For all other insurances, we require payment for services at the time they are provided.
We supply a standard itemized receipt (HCFA form) that you may submit to
your insurance company in case you qualify for reimbursement.
We regret we are unable to accept assignment from all insurance carriers.
·
In
the case of minors, the parent or guardian who brings the minor in is
responsible for the bill. If the
parents are divorced or separated and one is responsible for the medical bills,
we require payment from the person accompanying the minor, who can
then be reimbursed by the responsible party.
·
If
your check is returned from the bank, we will add a $50.00 “return check”
fee to your account.
Children:
Children
must be supervised by their caretaker and remain in the waiting area only. Please do not allow children to roam about in the hallway or
other rooms.
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Thank
you for taking the time to read this policy sheet.
If you have any questions about these policies, please feel free to call
the office and ask.
We
understand that you seek specialized treatment and we will endeavor to assist
you in a speedy recovery, but of course we cannot guarantee any specific result.
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