Dear Patient:
In an effort to provide you with flexible payment arrangements, we have expanded our payment policy.
PAYMENT ARRANGEMENTS ARE REQUESTED AT THE TIME OF YOUR VISIT
We now offer the following payment options:
- Payment by check
- Payment by debit/ credit card (Flexible Spending Accounts (FSA/HSA) included)
- Automatic monthly billing to your Visa or Mastercard
- Guarantee any amount not covered by Insurance with (debit, Visa or Mastercard)
- Care Credit: Medical financing/extended pay credit options available (inquire at front desk)
Please make your choice, sign below and return to our front desk to complete your check in.
Our office is a fully approved and accredited user of the Visa and Mastercard Health Care Program which will enable you to use your Visa and Mastercard to automatically cover amounts not paid by your insurances. You may also choose a comfortable amount to be automatically billed to your Visa or Mastercard on a monthly basis.
If none of the above applies, please see the office manager. Thank You.