NO SHOW POLICY
In an effort to address this concern and continue to meet the needs of our patients, we have developed the following No Show Policy.

1. Unless there is an unforeseeable emergency, we require a notice at least 48 hours in advance when canceling your appointment.

2. There is a $25.00 fee for appointments canceled within less than 24 hours or not showing up to your appointment without notice to cover administrative expenses.

3. Patients who do not schedule within 30 days or have a history of repeatedly not showing may be subject to dismissal for “non-compliance.”

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INSURANCE HOLDER, CO-PAY & REFERRAL POLICY
It is the patient’s responsibility to be aware of their insurance co-pay amount and referral requirements. All co-payments are to be made at the time of visit. The patient is responsible to bring or confirm with the office that a referral is on file prior to scheduled appointment, if it is required. Failure to cooperate may result in the appointment being rescheduled.

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RETURN CHECK POLICY
If a patient’s check is returned by the bank, the patient will be charged a fee of $25.00 and will no longer be allowed to make payments with checks.

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