As a Patient I

      have the right to be seen in a timely manner and will be informed of any delay with the option to reschedule if the delay is too lengthy.

     will be timely informed of my test results.

will present my current insurance card(s) at each visit.     

 will make every effort to understand the benefits of my insurance plan, even to the extent of calling the benefits coordinator at my place of employment/carrier.

 will cooperate with this practice to assure prompt payment of services I receive, including non-covered services.

Understand that I am ultimately responsible for payment of services I receive, including non-covered services.

        agree to take prescribed medications only as directed and if I do not understand the directions, I will call the office for clarification.

agree to be on time for my appointments and will notify this office 24 hours in advance if I am unable to keep my appointment.

        agree and understand that payment is due at the time services are rendered.

        agree that this office can only bill a diagnosis documented in my medical record.