Insurance and Financial Information

If you would like me to bill your insurance company directly please fill out the form below so I may check your benefits. You will be responsible for the portion your insurance company states as patient responsibility (co-pays, coinsurance, etc.)

If your insurance requires co-pay from you, it is due at the time of service. If there is any portion, in addition to your co-pay, that your insurance company determines to be your responsibility I will bill you upon receiving notification costs not covered.

For those who do not have insurance, have an insurance policy that does not cover your treatment or choose not to claim the cost of treatment, payment is expected at the time of service. For your convenience we accept cash, check and credit card.

If you must cancel or change your appointment, please allow 24hrs notice.

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