Step 1 Of 3

A full deposit is required at the time of booking. Deposits are fully refundable if the appointment is canceled at least 24 hours in advance.

Appointments canceled with less than 24 hours’ notice, missed or no-show appointments, are non-refundable.

Any remaining deposit balance will be refunded after applying applicable copays, coinsurance, or deductibles for the scheduled visit.





Request for consultation
No appointments are confirmed/scheduled until all new paperwork is completed

This includes:
Insurance information 
Valid form of payment (all cards are checked to ensure they are valid for Copays/deductible payments)
 

As a small practice owner, I offer longer appointment times and I would rather be available to care for 
you then track down payments for services rendered