Thank you for selecting our practice for your chiropractic needs. Our goal is to provide you with the highest quality of treatment and service. Your complete understanding of your financial responsibilities is an essential element of your care. If you have any questions about the following policies, please do not hesitate to ask our staff.
There will be a Late Cancellation/Reschedule Fee for cancellations or reschedules less than 24 hours before appointment, missed appointments, or late arrivals that must be rescheduled.
If you will be more than 15 minutes late, please call our office, you may have to be rescheduled.
Late fee *may be* waived if appointment is rescheduled BEFORE your appointment for same day or same week. Late fees for massages CANNOT be waived.
Late Fees - $30 PER SERVICE scheduled (note per appointment). $45 fee for 90-minute massages, $60 fee for 120-minute massages.
Saturday Late Fee – FULL VISIT AMOUNT – NO EXCEPTIONS
Late fee will be charged immediately to the credit card we have on file. Insurance will not pay, nor can office credit be used. You are welcome to give us a different card by phone when you call.
Missed appointment or late arrivals due to no reminder will still result in a fee. We love technology but we have no control (or even knowledge when) it temporarily malfunctions. You are responsible for knowing what day and time you scheduled your appointment. Please call if you have forgotten, have not gotten a reminder, or have gotten an incorrect reminder.
Returned Check Fee - $30
If your account is turned over to our collection agency, you will be responsible for the collection fee charged to us by the agency in addition to your outstanding balance.
All copays, deductibles and co-insurance are due at the time services are rendered and are based on what your insurance verification states on the date of service.
We are not responsible for incorrect or incomplete information received by you or your insurance company. You are responsible for updating us with new insurance information if it changes for any reason.
Health insurance coverage is a contract between you and your insurance company. You are responsible for knowing your insurance benefit information, i.e. deductibles and visit limits.
I assign directly to Meadows Chiropractic all insurance benefits, if any, for services rendered.
I have read and understand the financial policy and I agree to be bound by its terms. I understand and agree that such terms may be amended in the future by the practice.