Patient Financial Policy
Your understanding of our financial policies is an essential element of your care and treatment. If you have any questions, please discuss them with our front office staff or manager.
Payment for services and/or devices are due at the time of service. We will accept VISA, MasterCard, American Express, debit or cash. Personal cheques are not accepted.
There are certain elective procedures for which we require pre-payment. You will be informed in advance if your procedure is one of those.
For the initial pair of custom orthotics, there is a minimum deposit of 50% of the full purchase cost required at the time of order. For additional pairs, the entire balance is collected at order.
ORTHOTICS ARE NOT REFUNDABLE. As prescription orthotics are custom-made for each patient, they cannot be returned for refund.
Used medical devices, like splints or braces, cannot be returned for refund unless the product is deemed defective, in which a replacement device may be issued.
A No Show/Cancellation fee may be charged for any missed appointment or cancellation made with less than 24 hour notice. Payment for visit fee(s), new or follow-up, are also nonrefundable.
MSP of BC
Podiatry is NOT a covered service of Medical Services Plan of BC. Posted fees for services or procedures are exclusive of any MSP reimbursement and are your responsibility to pay.
Patients who have MSP Premium Assistance may have a subsidy towards appointment fees. MSP will be billed directly by the practitioner for any applicable services or procedures. Any MSP reimbursements will be paid directly to Dr. R J Stanford dba Aurora Foot & Ankle Clinic, Practitioner #52796. You will not be charged the portion that is reimbursable by MSP.
Private/Extended Medical Insurance
We DO NOT have direct billing access to private medical insurance providers. Therefore, all charges for your care and treatment are due at the time of service. At the time of payment, we provide a receipt which may be used for submission to private insurance. Our rates are the same regardless of insurance coverage or lack thereof. If your extended insurer requires so, you are responsible for all authorizations/referrals needed to seek treatment in this office.
Name of Patient/Responsible Party:
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First Name
Last Name
Signature of Patient/Responsible Party:
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Date:
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Month
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Date
Submit
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