Rate child's progression in the following subjects:
Our goal is to provide you and your family with excellent vision care. We also want to establish and maintain a pleasant, professional working relationship with you. Please take a few moments to review the following information.
Payment is expected at the time services are rendered.
In a divorce situation, the adult bringing the child is responsible for payment at the time services are rendered.
Vision Insurance/Medical Insurance
The ultimate financial relationship is between our office and you, not our office and your insurance company. If you have vision insurance, we will bill your company directly as a courtesy to you. To do this correctly and promptly, we need the most current and accurate information of both your medical and vision insurance, including verification of coverage and proper identification. Prior to your first visit, our staff will attempt to contact your insurance company to determine: effective date, benefits, deductibles, yearly maximums, co-pay %'s, and any other important information which will allow you to receive maximum allowable benefit. We then estimate any costs not covered by your insurance and expect these costs to be paid at the time of service. We cannot guarantee payment of benefits by your insurance company, as initially reported to us. Therefore, we will bill you for any additional costs after the processing of insurance claims. It is ultimately your responsibility to know any special terms, deductibles and/or co-pays for your insurance.
It has become necessary to implement an office policy concerning appointments that are cancelled less than 24 hours prior to be scheduled. Our office will charge $50.00 if not given 24 notice. The unused time prevents other patients the opportunity to be seen.
