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For Your Information:
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- All patients under the age of 18 must be accompanied by their legal parent or guardian. CLICK HERE for form.
- Under the HIPAA law, we will be offering you our "Notice of Privacy Practices" and asking you to fill out the acknowledgement form that you received it - CLICK HERE for form.
- Co-pays/deductibles are due at the time of service, unless prior arrangements have been made.
- If a patient fails to pay their co-pay at the time of service, there is an additional $10 charge that will be billed to you on your statement on the 15th of the month.
- If a patient is sent a statement and fails to acknowledge it after 30 days and a new statement is sent, there is a billing charge of $10 added to the next statement sent out to the patient.
- If you fail to contact the office to cancel or reschedule your appointment within 24 hours, there is a $30 no show fee that will have to be paid before another appointment can be scheduled.
- ENT Associates return check charge is $30.
- Medical records are to be requested in writing to our office. We allow 5-7 business days for getting the records copied and to you. There is a $15 fee for any medical records requested, CLICK HERE for the form.
- We are happy to fill out any paperwork that may be needed for your employer, health insurance, disability carrier, FMLA or AFLAC. We allow 5-7 business days for completion and there is a $5 fee for filling out such paperwork. CLICK HERE for form.
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