We understand that paperwork is tedious, but it is necessary. Due to recent concerns, we need you to be very clear about your responsibilities as our patients.
- We pride ourselves on excellent healthcare and our intimate office experience. We realize that your time is as valuable as ours. While we try to maintain a schedule, appointments may run later than expected. Please be assured that you will be afforded the same time and concern.
- Complete, honest, and legibly written health details will enable us to provide you with the highest quality healthcare. We need to have accurate health and medical information.
- We appreciate referrals of friends and family and encourage their support during your recovery period. However, during your appointments with us, they will not be seen as new patients unless they have a regularly scheduled appointment time.
- We are requesting a copy of your medical insurance card for emergency purposes only. If you wish for us to bill insurance for your office visit and/or surgery, you must complete an Assignment of Insurance Benefits form and our Insurance Reimbursement Policy form.
- Please note that there is a billing fee of 20% of the amount received from your insurance carrier (per our Insurance Reimbursement form) and that we are legally entitled to collect all payments due to us. You are required to forfeit any and all checks sent in error to you from your insurance carrier.
- If you are using Capital One or CareCredit financing, you are responsible for enrolling in the program, understanding your plan and the repayment policies and interest rates applied.
- You are responsible for all fees associated with your medical care. Please be aware that regardless of your insurance status, you are responsible for your medical bill.