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Registration Forms

Please download, print and complete the required registration forms before your appointment.  Thank you.

Payment and Cancellation Policy

A completed registration form and credit card information is requested and kept in a confidential file with your medical record. Co payments are collected on the day of service. Your insurance company will be billed after your visit. If you have a balance you will receive a bill from our office and you may pay with your credit card or check.

Please be advised that twenty-four hour notice on a business day is required for cancellations. It is important that you arrive for your appointment on time. Late arrivals may need to be re scheduled. New patients require a full hour of the doctor’s time. Follow up appointments are scheduled for thirty minutes. A $200 fee is charged for late cancellation or failure to cancel, since it is our policy not to schedule more than one patient in an appointment slot.

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