678 985-8087

1605 Buford Drive
Lawrenceville, GA 30043

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Appointment Request

Office Policy

Broken or Cancelled Appointments
If you need to cancel an appointment, please notify our office at least 24 hours in advance for all appointments. After two broken or cancelled appointments our office will charge $50.00 for each cancelled or broken appointment if you do not give us the required advanced notice. If you experience an emergency and it makes it impossible for you to give us 24 hours notice, please notify us as soon as possible so we can discuss this with you.
Payment Responsibilities
All fees for services performed are due in full and payable at the time of your or your dependents' visit. As a parent/guardian, you are responsible for all fees and services rendered for the treatment of your dependents. You are responsible for all fees regardless of insurance coverage. If you or your insurance have not paid your outstanding balance that you will be charged a interest calculated on your average daily balance. In the event that you default on your payment you must pay all costs of collection including, but not limited to, reasonable attorney’s fees. We recommend that you understand your insurance benefits and monitor their plans for prompt payment. If we are filing an insurance claim for you, please be sure to read the section regarding Insurance Claims.
Insurance Claims
If we are filing an insurance claim for you, you will need to pay us at the time of treatment the insurance deductible required by your plan and any amount that we estimate will not be covered by your insurance company. We try to get accurate information about your insurance benefits and coverage before treatment, but we cannot be sure what the insurance company will pay, if anything, until the claim is submitted and the insurance company actually pays on the claim. It is not unusual for insurance companies to give us erroneous information about coverage and benefits. This is important for you to understand, because you are responsible for all treatment charges, whether or not your insurance company provides any benefits. Any remaining balance that is not paid by the insurance company will be your responsibility and you will be billed for this amount.
Returned Checks
We will gladly accept your personal check as payment for services if you are a patient of records. There will be a $30.00 charge for any check that is returned to us. We will no longer accept your personal check if you have had a check returned to us in the past.
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