Patient Rights & Policies

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.

Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

• You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

• Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

• If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

• Make sure to save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit

www.cms.gov/nosurprises or call (800) 985–3059.

Effective December 1st,  our clinic requires all patients who schedule an appointment to place a card on file. This policy helps us improve scheduling and appointment availability for patients.

No-Show Fee

If you do not show up for your scheduled appointment, a $20 fee will be charged to your card on file.
This fee must be paid before you can schedule another appointment.

Late Cancellation Fee

If you cancel your appointment less than 24 hours before your scheduled time, a $20 fee will be charged to your card on file. This fee must also be paid before you are allowed to schedule again.

Emergency Cancellations

We understand that emergencies happen. If you need to cancel within 24 hours due to an emergency, please call the clinic immediately. We will determine whether the cancellation fee can be waived and whether you may reschedule without penalty.