Cancellation Policy
If you do not come in for your scheduled visit or, if you cancel your appointment for any reason with less than 24 hours notice, you will be charged the full cost of the session. Insurance does not reimburse the client for these broken appointments.
Payment
Dr. Kardong requires payment in full at the time of each visit. She will provide you with a monthly statement (HCFA) for tax or insurance purposes. You may submit HCFA to your insurance company for reimbursement directly to you. You are responsible for all charges irrespective of insurance payments you may receive that are less than her full charges. Only credit cards are accepted for payment. If the credit card you provide for payment is declined, you will be charged $30 plus the time required to communicate with you about it until the issue is resolved.
Other Charges
Dr. Kardong may charge for phone calls, emails and paperwork requested that require more than 10 minutes of her time, billed in 10-minute increments of her hourly fee. Examples include letters, forms, consultation with other providers and treatment programs, and communication with pharmacies and insurance companies. This includes the time required to obtain prior authorizations.
Unpaid Balances
Clients who have balances which are unpaid in the prescribed time will be subject to interest of 1.5% per month. Dr. Kardong reserves the right to collect money owed via collections agencies, small claims court or any other means allowed by law. Non-payment for services provided by Dr. Kardong constitutes grounds for termination of treatment.
By entering your name below, you have read and understood the Payment Policies described above and agree to all terms.
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