Thank you for choosing DIN NEUROOGY AND DALLAS ADHD AND HEADACHE SPECIALIST (NEURO CARE LLC). We are committed to building a successful relationship with you and your family. Your clear understanding of our financial and office policies is an important part of that relationship. Below are the key points. For the full version of this policy, click here.
1) We are committed to understanding your benefits and providing you with a cost estimate for your care before your appointment
2) Before your appointment, please inform us of any changes to your information such as name, address, phone numbers and/or insurance information.
3) We will collect for today’s care and any outstanding balance when you check in.
4) If you miss your appointment or if you cancel or reschedule an appointment within 1 business day, we may charge a late cancellation fee of $50.
5) Please let us know if you are running late to your appointment.
6) Paperwork such as FMLA, and Disability will be charged $50, to be paid in advance
7) By default, you will receive text messages and/or call for appointment reminders and information about your health care treatment
By signing below, you acknowledge that you were given the option to review the full Financial and Office policies document before signing, and you agree to the policies detailed in the full policy.
Parent/ Legal Guardian Signature