Patient Center
INSURANCE & BILLING
BILLING POLICIES
Thank you for entrusting us with your care as we strive to serve you as personally and efficiently as possible. To meet this goal, we need your assistance. Please inform us immediately of any changes with your insurance plan or medical coverage. We will need a copy of the insurance card and effective date in order to properly bill for services.
CO-PAYMENTS
If your insurance requires a co-payment, it is due at the time of your visit. It is not our policy to bill for co-payments. For your convenience, we accept MasterCard and Visa, cash, checks and debit cards.
CANCELLATION POLICY
Your scheduled appointment is a time that is reserved just for you. If you are unable to keep your appointment, please let us know 24 hours in advance.
For new patient appointments and physicals that are canceled with less than 24-hour notice there is a $50.00 No-Show fee.
For follow-up appointments that are canceled with less than 24-hour notice there is a$25.00 No-Show fee.
DEDUCTIBLES
Thank you for entrusting us with your care as we strive to serve you as personally and efficiently as possible. To meet this goal, we need your assistance. Please inform us immediately of any changes with your insurance plan or medical coverage. We will need a copy of the insurance card and effective date in order to properly bill for services.
OVERDUE PAYMENTS
If your insurance requires a co-payment, it is due at the time of your visit. It is not our policy to bill for co-payments. For your convenience, we accept MasterCard and Visa, cash, checks and debit cards.
OFFICE POLICIES
Please arrive 10 to 15 minutes before your scheduled appointment time.
Should you need to cancel or reschedule your appointment, please contact our office as soon as possible.
WHAT TO BRING TO YOUR APPOINTMENT
Please bring the following items to your appointment:
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Insurance Card
Please bring your insurance card or a copy of your insurance information
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Patient Forms
Please print our patient forms packet and complete the forms before your appointment.
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A List of All Medications
Please bring a list of all medications you currently are taking or have taken recently, whether over-the-counter or prescription. Include the strength and dosage of each medication.
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Patient forms
Save time in the waiting room! Print and complete these forms before your appointment and bring them with you to your appointment.
- New Patient Information. Download
- History Form. Download
- Notice of Privacy Practices. Download
- Authorization to Leave Messages
- Authorizations and Acknowledgments
- Consent to Treatment of a Minor When Parents/Guardians