Office Hours:
- Monday - Friday: 8:00 AM - 4:00 PM
- Saturday and Sunday: Closed
Insurance Payment Policy:
Please present your insurance card and driver's license at the time of check in. We do not verify benefits for most follow up appointments. Please be aware that it is ultimately your responsibility to know your healthcare benefit coverage. If you do not know your benefits we strongly recommend that you contact your insurance carrier with any questions you may have regarding your coverage prior to your services rendered. On each date of service, you will be expected to pay the co-pay / coinsurance / deductible amount that is listed on your insurance card. Please note that this is only an estimated amount. After your insurance company has paid their portion, it is probable that you will receive a bill from North Texas Institute of Neurology & Headache for any amount that has been applied to your deductible or coinsurance.
Self-Pay Patients:
Our office does not see self-pay patients.
Forms of Payment:
We do not accept checks on the initial appointment. Payment is accepted in the forms of cash, checks, or debit cards (Visa, MasterCard, American Express, or Discover).
Medical Records:
Medical record requests are now handled by a third party, HealthMark Group. To request your records, submit a request by creating an account at https://medrelease.healthmark-group.com/360 . You may also request your records through our office. If you choose to submit a request through our office, a records release form will need to be completed in our office or sent to the office via fax. Should any fees be required, HealthMark Group will send out an invoice. Records will be available within 24-48 hours, unless pending payment. If you have not received any response regarding your request, please call our office.
Medication Refills:
Please allow our office 72 hours for medication refills. Medication refills will only be filled during our normal business hours listed above. The on-call medical provider will not fill standard, non-urgent refills after hours.
Outside Venues:
Our office may have contractual financial interests in venues such as Sleep Studies, EEGs, UAs, MRIs, and Compound Pharmacies. These interests do not in any way impact medical decisions, treatment options, or financial obligations for our patients.
Courtesy Policy:
Due to the sensitive nature of the conditions that we treat, we ask that all patients refrain from cell phone use, the heavy use of perfumes, lotions, and tobacco products. We thank you in advance for your cooperation in this matter.
***Please note that the patient is the only one allowed back at the time of the visit***
Cancellation / No Show Policy:
We do our best to confirm appointments with our patients 72 hours in advance, however it is ultimately the responsibility of the patient to confirm or cancel their appointment within one business day. Appointments that have not been confirmed by 3:00 PM the day prior to their appointment will be canceled and considered a ‘no show’, so that we are able to accommodate patients who are on the waiting list. Patients that ‘no show’ their appointment or ‘cancel it on the same day’ (inside of one business day) of service will be charged with the fee listed below and a deposit, all are nonrefundable. The deposit will go up in $25.00 increments per no show and/or same day cancel.
Follow up appointments: $50.00 + $50.00 deposit
Procedures (including EMG/NCV, injections, Biopsy or Botox/Dysport/Xeomin/Daxxify): $100.00 + 50.00 deposit
Consult with different Provider in office: $75.00 + $50.00 deposit
Psychiatric Consult and Follow Up: $150.00 + $50.00 deposit
Radiology: $150.00 + $50.00 deposit
Massage: $25.00/Allergy $25.00 + $50.00 deposit
Late Policy
If you are more than 15 minutes late, please call our office, so we can reschedule your appointment. Please be aware, this will be considered a No Show and a fee will be assessed. Please respect this policy as it ensures that physicians and patients stay on time.
I have read the above standard policies for North Texas Institute of Neurology and Headache, and I agree to abide by these policies.