We require 24 hour notice for an appointment cancellation. Please be aware that there is a $30.00 fee for missing a scheduled appointment with our providers and tests or procedures that are done in our office. Please help us in serving you better by keeping your scheduled appointments or by giving 24 hour notice before any cancellation.
If you have no refills remaining on your prescription, you are likely due for an office visit. Please contact our office at 401 353 7330 to schedule your appointment.
If you have medical insurance, we are here to help you receive your maximum allowable benefits. In order to achieve this goal, we need your assistance and understanding of our financial policy.
Co-payments and Deductibles
These payments must be made at time of service. This arrangement is part of your contract with your insurance company. Failure on our part to collect co-payments and deductibles from patients is considered a violation of contract and fraud
Not all services are covered by insurance; they vary from contract to contract. Some insurance companies arbitrarily select certain services they will not cover or which they may consider not medically necessary. In these instances, you will be responsible for these services. We will make every effort to ascertain your coverage for our services before treatment and make you aware of our findings. However, this does not guarantee payment from your insurance carrier.
For services that are not covered by insurance, the Practice requires payment of 100% of the total charges at time of service unless prior arrangements have been made.
If your insurance changes, please notify us as soon as possible so that we can update our records and help you receive the maximum benefits allowed under your coverage. If you are insured by a plan that we accept, but you do not have a current insurance card, payment is expected in full at time of service until we can verify your coverage.
We require 24 hour notice for an appointment cancellation. Please be aware that there is a $30.00 fee for missing a scheduled appointment and tests or procedures that are done in our office. These charges are your responsibility and are not billed to your insurance company. Please help us in serving you better by keeping your scheduled appointments or by giving 24 hour notice before any cancellation.
All Returned Checks Are Subject to a $30.00 Fee.
Please print and complete these forms before your appointment, and bring them with you to your appointment.