New Patient Information

Welcome and THANK YOU for choosing our practice. Please take the time to review the intake form and complete it at least 48 hours before your appointment. By doing so we will be able to populate all required current and past medication history, assess coverage for services and products, and quote your out of pocket expense with your insurance. We understand our patient’s time is valuable and do not want you to wait and be delayed due to same day insurance verification.

For patients with no insurance or high out of pocket costs we do offer “no insurance package” for typical conditions we see.

Please click here to see if that is a better option for you.

In order to serve you better and faster we have provided our patient information and medical history forms online. Complete both of these forms prior to coming in to save yourself time in your initial visits.

Click here and complete electronically.

Click here and complete electronically.

In order for us to provide excellent care we would like to limit the risk of our patients losing their treatment slots, as well would like to be able to accommodate our patients who need urgent appointments. As a PCMH-n provider we have to provide same day appointments and provide access to your urgent patients.

High Deductible Plans:

We will take the time to confirm your insurance is active, your co-pay amount and current deductible at the time of your visit. If your deductible is not met then payment TOWARDS your deductible is required at the time of your visit. We will use your insurance fee schedule and charge the contracted amount, but also submit the claim to the insurance. If an over-payment is made, then a refund check will be sent. And if not enough was collected, a statement will be mailed.

Cancellation/No Show Policy

New patients that do not show or cancel within 24 hours will be charged a $100 to reschedule fee. If you choose to cancel your appointment, please give us 24 hours’ notice to allow another patient to fill that time. If you are a “no show” or call after 24 hours, then a $50 fee will be charged. If you reschedule and/or cancel your appointment 3 consecutive times, you may be discharged from the practice. Our policy is to call every patient to remind them of their appointment the day before each appointment in order to give all patients the opportunity to cancel or reschedule.

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