Financial Agreement
1. Patients with insurance are required to pay full coinsurance of total bill at time of service.
2. All insurance quotes are estimates and are not a guarantee.
3. If treatment is rendered without insurance, payment is required in full.
4. Payment arrangements can be made prior to treatment.
5. If issued an insurance check for services rendered by Dr. Homrighausen, you are required to forfeit that check to Dr. Homrighausen
To Divorced Parents:
The parent who accompanies the child for care will be held responsible for all bills.
ALL ACCOUNTS ARE IN FULL UNLESS PRIOR ARRANGEMENT HAS BEEN MADE