Payments / Office Policies

Payments:


~We are patients ourselves and we are acutely aware of the rising cost of health care. We try to keep our costs and your costs as low as possible while maintaining high quality of personalized care. We accept many health insurance plans and we accept out of network patients and help you fill and/or submit your claims. We have list of fees for services rendered for self paying patients.

Payments are expected at the time of visit, including co-pays.

~Unpaid copays within 24 hours of appointment will be assessed a $10 fee even if patient is presented to the office by someone other than parent or guardian. Balances not paid by the next billing cycle will be considered past due and delinquent accounts will be assessed a $20 fee monthly until account is paid in full and may be forwarded to an outside collection agency at any time.
                     Payments / Office Policies

Office Policies:

~When you come in, you will be asked to read and sign our Financial Policy as well as HIPPA Policy. Please do so carefully and should you have any questions, please let us know.
~Copy of your records will be provided after signed release form is obtained and fee (75 cent per page) collected.
~To obtain referral to a specialist, you have to first be evaluated by our provider. To process the referral you will need the date and the exact time of your visit with the specialist.

~Prenatal visit $40
~Pre-adoption visit $40
~No-show $80
~Same day cancellation: $40
~Print out of standard Department of Education health form: no charge for the first copy, $10 for duplicate copy
~All other medical forms: $10 per form