Patient Billing

Co-pays/Self Pay Patients

**We accept payments in the form of cash, check, money order or credit cards.

• Co-pays are due at the time of check-in. Any co-pay not collected at the time of the appointment is subject to additional fees associated with processing statements and mailing expenses.
• Patients without insurance are expected to pay for services rendered at time of visit.

Form Completion

• A separate fee of $25.00, payable at the time of the visit, is associated with all form completions.  Dependent upon the visit, forms can be completed within the visit or you may be asked to leave forms with your Clinician and allow 1-2 business days to be processed.

Referrals

• Patients in need of a referral to a specialist due to their insurance company guidelines must notify the office in advance of this request. Please allow up to 7 business days for the referral to be processed. In the event of an emergency referral, deemed an emergency by the clinician, the request will be processed within 24-hours.
• Emergency referrals will be faxed upon completion to the facility/clinician providing the treatment.
• Non-urgent referrals will be mailed to the patient directly or can be picked up by the patient.
• All referrals are scanned into the patient's electronic medical record (EMR) for future reference.
• Due to the amount of time associated with generating referrals, there may be a fee associated with misplaced referrals. All patients are encouraged to allot adequate time for processing and keep referrals in a safe place.

Quick Information

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