Cancellation Policy

24 hour notice required for cancellation of appointment

Insurance

We are out of network with all insurance providers, other than Medicare. 

As a courtesy we will submit itemized documentation to your insurance company so you may receive reimbursement for your out of network benefits. 

Forms

• Patient Health & History (PDF)
• New Patient Form (PDF)
• Notice of Privacy Policy  READ ONLY
• Acknowledgement of Notice Of Privacy Policy (PDF)
  (After reading the Notice of Privacy Policy, you only need to print and sign the Acknowledgement of Notice of Privacy Policy form)