We would like to welcome you to our office and assure you that we will do our utmost to provide you with the best care possible! If you have any questions regarding the following financial policies, please do not hesitate to ask the receptionist for assistance.

Patients with Insurance Coverage

We will be glad to help you obtain the maximum allowed benefit from your insurance carrier. We will bill your carrier as a courtesy to you. However, please be aware that you are ultimately responsible for the payment of the account. We will be happy to request a pre-estimate of benefits from your insurance carrier when applicable. Routine treatment is usually performed without submitting a request for pre-estimate of benefits. If you are having treatment over a period of time, we appreciate payment during the course of your treatment.

Patients without Insurance Coverage

Patients without insurance coverage are requested to pay for services the day they are rendered. For your convenience, we accept MasterCard, Visa and American Express for payments.

Additional Terms

Appointments canceled with less than 24 hours’ notice are subject to $25 cancellation charge. Checks returned by your bank are subject to a $20 processing charge. Outstanding balance unpaid after 90 days from the date of initial billing are subject to a finance charge at the rate of ½ percent per month. If your account is referred for collection, you will be responsible for collection costs of 30% of the outstanding balance, together with court costs and reasonable attorney fees.

We believe that open and sincere communication between our office and our patients is the key to a successful relationship. We encourage you to let us know if there are any questions or problems with which we can be of assistance. Once again, we wish to welcome you to our practice, and we thank you for your patronage.