Co-pays & deductibles are required on the date of service. We will bill your insurance but can't assure payment. You are fully responsible for payment. (Please give your insurance forms or cards to the front desk)
*Professional fees are due at the time services are rendered. I will be responsible for charges to my family or me. Patients are responsible for all costs associated with collection or legal actions, including 33 1/3% attorney fees. Initial: