All patients (new and returning) are subject to the following no-show/broken appointment policy. Your completion of this online form indicates that you acknowledge and fully understand this policy.
When an appointment is made for a patient to be seen in our office, a specific time is reserved for that patient. This allows the provider to meet the patient’s needs. Broken or missed appointments result in the loss of valuable time that could be spent with patients in need of treatment. For this reason, if a patient fails to keep a NEW PATIENT VISIT, he or she will be charged a fee of $250. If a patient fails to keep a FOLLOW-UP VISIT, he or she will be charged a fee of $100. If a patient fails to keep an appointment for a PROCEDURE, he or she will be charged a fee of $150. If a no-show fee is not paid within 60 (sixty) days, the patient will be charged an additional $10 late payment fee. If an appointment needs to be cancelled or rescheduled for any reason, please notify our office at least 24 hours in advance, and no fee will be charged. If a patient misses more than 3 (three) appointments without prior notice, that patient may be dismissed from the practice.
We ask that all NEW PATIENTS bring recent imaging reports (MRI, CT, X-Ray, EMG).
Also, please bring ALL CURRENT MEDICATIONS within their ORIGINAL PILL BOTTLES.