Policies, Procedures & Forms

Office Policies

Copays
Our contract with your insurance company requires that we collect your copay at the time of service. We accept cash, check, as well as American Express, VISA, MasterCard, and Discover.

Forms
We strive to complete forms that are required for school, camp, sports, jobs, etc. as soon as possible, but due to the volume of forms we receive and our focus on immediate health needs of our patients, we require three (3) business days to complete them.  Most forms have sections to be completed by the guardian and/or patient, and this information must be completed before we can accept the form, and the patient must be up to date on recommended check-ups.  The chart is reviewed by one of the medical staff, and often by your physician, before a form can be completed.  Your form can be held for pickup, faxed, or mailed if a self-addressed, stamped envelope is provided.  If you require your form faster than 3 business days there is a $10 fee.  A link to common forms can be found on our website.

Insurance Policy
We will file with your insurance company as a courtesy. We are not responsible for knowing the terms and exclusions of your medical plan. We will, however, do our best to stay within the guidelines of your plan as long as you communicate them to us. Please present your current insurance card at each visit so we can accurately submit your claim.

Statements
You will receive a monthly statement showing your outstanding balance. Any balance that your insurance company has not paid is your responsibility. Please follow up with your insurance company if you feel they should have covered your claim. Please make your payments in a timely manner to avoid our collections process.

Collections
If payment is not made in a timely manner, our collections process will go into effect.  If the balance does go to a collection agency, your children will no longer be able to be seen at our practice, and our relationship will be concluded.