PAYMENT FOR SERVICES IS DUE AT THE TIME SERVICES ARE RENDERED
Payment for services not covered by your insurance: Cash and Credit Card
No Personal Checks
We must emphasize that as your medical care provider, our relationship and concern is with you and your health, not your insurance company. ALL CHARGES ARE YOUR RESPONSIBILITY FOR THE DATE SERVICES ARE RENDERED. We realize that emergencies do arise and may affect timely payment of your account. You will still be responsible for payment of all services rendered. All fees still pending with your insurance carriers after 90 days will be your responsibility.