Policies
Insurance
and Payment
Thank
you for choosing us as your health care provider. The following is a statement
of our Financial Policy.
ALL
PATIENTS MUST COMPLETE OUR "Patient Data Form" BEFORE BEING
SEEN AT THE RHINEBECK HEALTH CENTER. FULL PAYMENT IS DUE AT THE TIME
OF
SERVICE. WE ACCEPT CASH, CHECKS VISA. MASTERCARD AND DISCOVER. Any other
arrangements must be made in writing prior to the time of service.
PLEASE
NOTE THAT WE DO NOT FILE FOR INSURANCE. We give you two copies of your
fee slip at the end of your visit. One is for you to submit to your
insurance
company and the other for your records. The fee slip we give you includes
standard information, which is required when filing your insurance
claim.
If your insurance company requires additional information, we will bill
them prior to sending them the requested information. We are doing
everything
we can to keep our fees down, however the increase in insurance correspondence
and requests, have caused an added burden to our office expense. Please
be aware that some, and perhaps all, of the services provided, may
be "non-covered" services and not considered reasonable and necessary
under your medical insurance.
Cancellation
Unless canceled at least
48 hours in advance, our policy is to charge for missed appointments at
normal office rates. If canceled on a Friday after 1:00 PM or over the
weekend you will also be charged at normal office rates. Please contact
us if you have any questions or concerns.
Fragrances
and Perfumes
Due to the nature of our
practice, we request that you refrain from wearing any colognes, perfumes,
scented oils, after-shave and/or fragrances of any kind in our offices.
Many of our patients have severe allergies and chemical sensitivities.
Products of this kind are extremely offensive and may produce significant
adverse reactions in these patients. Your help in this matter would be
appreciated.
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