We are contracted with the following insurance plans. Not all providers in our office are contracted with each of these insurance plans. Please call our office to find out which providers accept your insurance or call your insurance company to check if our office is in network.
Office Financial Agreement
I understand I am financially responsible for any co-payments, deductibles, coinsurance and all charges, which are not covered by my insurance. I understand that verification of coverage is not a guarantee of payment of benefits. Your insurance company determines insurance benefit payments. I understand I will be responsible for the portion not covered by my insurance.
I understand a $25 charge will be made for broken appointments unless 24-hour notice is given.