EQUINOX ACUPUNCTURE WELLNESS, PLLC OFFICE POLICIES

FEES The fees charged in this office are comparable to those charged by other healthcare providers in this area, with similar qualifications. Please ask to see our fee schedule. We accept cash, credit cards, and personal checks. Please note there is a $30.00 charge for checks returned due to insufficient funds.

INSURANCE COVERAGE Many insurance policies cover Acupuncture, but we do not claim that yours does. Policies can differ greatly in terms of deductible and percentage of coverage for acupuncture. We can verify coverage and submit your claim form for reimbursement, provided you sign the financial agreement below.

RELEASE OF INFORMATION Your insurance company may require medical reports to document our treatment and progress. Your initials below authorize the release of medical information necessary to process your claim.

CANCELLATIONS As a courtesy to our office and other patients, we ask that you please notify the office at least 24 hours in advance if you need to cancel or reschedule your appointment. You will be charged a $30.00 fee for any cancellation giving less than 24 hours notice for nonemergency situations. The $30 fee will also apply to reschedules occurring within 2 hours of your appointment time unless rescheduling for the same day. A $50 no-show fee will apply for any appointment that is missed without notice.