In accordance with the Federal Truth-in-Lending Act, the following policies apply in our office:
1. Payment is due at the time treatment is rendered or by previous financial arrangements.
2. ln the event my insurance company does not cover the entire balance of my account within 30 days from treatment date, I agree to pay the balance in full within 60 days of treatment date or by previous financial arrangements.
3. There is a forty-dollar ($40) charge on all returned checks, and a missed appointment fee of $60 if not cancelled within prior to the 24 hour window.
4. In the event of default, I agree to pay legal interest on the original indebtedness, to include any interest, any collection costs, and related attorney's fees.