Dear Patient,
Welcome. The help you get acquainted here, I’ve prepared a few words about the office and fee schedules. Would you please review this information carefully?
Thank you.

OFFICE PROCEDURE AND FEE SCHEDULE

Fee Schedule

  • Initial history, structural evaluation and treatment (up to 30 minutes)*  $325.00
  • Follow-up consultations (up to 30 minutes)*  $225.00
  • Homeopathic consultation/review (up to 30 minutes) $250.00

*For additional time beyond thirty minutes, please add $100 per fifteen minute segment or fraction of fifteen minutes.

Missed Appointments

Your appointment is time set aside for you to see the Doctor. If you do not keep your appointment, that time is lost to another patient. A follow-up consultation fee will be added to your account. If you have an emergency or cancel that appointment within 24 hours, no charge will be made.

Insurance

At the end of each visit, you will receive a standard insurance receipt. You may use this receipt to file for reimbursement from your insurance company. If you need a special form prepared, the fee is $15-$25 depending on how long it takes to complete that form.

Payment

Unless previously arranged, would you please take care of your bill at the end of each visit? We accept cash or check.

Positive Account Balances and Returned Bank Items

On all accounts not paid in full, we add a late charge of 1.5% of the unpaid balance or $2.00 (whichever is greater) each month. If the account goes to collection, we will add an amount to include collection charges so we receive the account balance due.

If your check is returned from the bank, we will add a $25 “returned check” fee to your account.

Thank you for taking the time to review the office policy and fee schedule. If you have any questions about this policy, would you please ask them now?

Wishing you a speedy recovery, I am,

Sincerely,

DrDavidsonSignature

 

 

 

 

Stephen Davidson, D.O., DO(H), C-SPOMM

 Posted on : February 16, 2014