Financial/Cancellation Policy

Thank you for choosing us as your healthcare provider. We are committed to your treatment being successful and your bill is considered part of your treatment. The following is our financial policy that requires your signature.


Payment in full is due at the time of service. If an insurance claim is filed, I understand that I am responsible for my portion of the bill. Your appointment time is reserved just for you. A late cancellation or missed visit leaves a hole in the therapists’ day that could have been filled by another patient. As such, we require 24 hours notice for any cancellations or changes to your appointment. Patients who provide less than 24 hours notice, or miss their appointment by 15 min or more, will be charged a cancellation fee of $40. Please help us to serve you better by keeping all scheduled appointments. If a purchased package cannot be completely utilized for unforeseen circumstances and a refund is requested, it must be submitted in writing. It will be refunded at the rate of full price services used and the remaining balance will be returned. My practice accepts insurance benefits for patients. In order to best serve you, I can verify your insurance benefits before you arrive. Please click on the link below and complete the online form. We will contact you as soon as benefits are verified.

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