**EFFECTIVE FEBRUARY 1,2014**
Due to the recent changes in health care reimbursement, we now require a minimum cash deposit of $60.00 prior to services for all patients with outstanding insurance deductibles, including Medicare. You will be billed for any balance remaining or we will reimburse you any overpayment.
Also, due to reduced reimbursement, we are forced to add the following fees:
1.) Flat fee of $25.00 for the 1st copy of medical records for personal use and transfers of all other copies will be charged accordingly.
2.) Flat Fees for completion of any forms outside of office visit. Prepayment is required.
$10.00-Simple i.e., School or DMV forms.
$25.00-Complex i.e. ,Disability, third party payer forms, Military elig. Letters
3.) Fee Schedule starting at $20.00 for any extensive telephone consultations and requests for treatment over the phone (Calls exceeding 5 mins. Initiated at the request of the patient) *Please note, telephone conversation vs office visit is at the discretion of the physician.
4.) Flat fee of $25.00 for Any Missed Appointment (Reminder phone calls regarding appointments are made as a courtesy to you.)
THANK YOU FOR UNDERSTANDING.