Payment: You are responsible for the payment of services at the time of scheduling or within 24 hours of services provided. We accept PayPal and Credit Cards.
Receipts for payment are provided via email after submission of payment.
Unless other arrangements are made, unpaid bills after 30 days will be referred to a collection company. We have the right to refuse future service if there is an unpaid balance.
Insurance and FSA: We do not bill insurance and our services are not eligible for Flex Medical Spending reimbursement.
Cancelations/Reschedules: If it is necessary to cancel your appointment, we require AT LEAST 24 hours’ notice, prior to the appointment. If the appointment is not rescheduled, you will receive a credit back to your original method of payment within 5 business days. If 24 hour notice is not provided and if the appointment is not resch As a courtesy we send text or e-mail reminders, however, you are still responsible for the cancellation even if you did not receive a text and/or email.
Late Appointments: Because of our Child Life Specialist schedules, if you are more than 15 minutes late, we will ask that you reschedule and there will be a $25 fee.
PAYMENT RESPONSIBILITY: By signing below, the adult who signs a minor child into our practice accepts final responsibility for payment. We will send statements to the guarantor listed on your registration sheet, but time of service payment and final payment is the responsibility of the accompanying adult. Parents are responsible between themselves to communicate with each other about the treatment and payment issues. You will be able to receive a summary of each visit via the patient portal which may be used for parent communication.