Michelle Bellanger - Acupuncture Physician
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Policies Facial Rejuvenation
     

Financial Policy

::     Payment in full is due at the time of service unless special arrangements are made in advance.

::     In order to minimize costs, we accept cash and checks. This frees us from time consuming paperwork and tracking of filed insurance claims.

::     We will provide you with the appropriate paperwork  (super bill) if you would like to submit your bill to your insurance company for reimbursement.

::     Many companies cover acupuncture but you will have to check with your individual policy.

 

Cancellation Policy

::     As a courtesy to us and other patients, please make sure to reschedule or cancel any appointments in advance. We want to be able to keep our prices low but if we are unable to fill slots for missed appointments we may have to reevaluate the fee schedule.

::     Missed appointments, unless cancelled at least 24 hours in advance will be charged in full except in cases of emergency.

::     Patients more than 15 minutes late may be asked to reschedule and may be asked to pay for the appointment in full to accommodate other patrons. 

::     Please help us to serve you better by keeping all scheduled appointments.

 

Privacy Policy

::     We protect your confidentiality and abide by all HIPPA practices.

 

Please Download These Forms

::     Client Contact Information Form

::     New Patient Intake Form

::     Consent to Treat Form

::     Patient Rights

::     Financial Policy

::     Pay at Time of Service Form

 

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