Clear expectations. Thoughtful care.

Outstanding balances generally must be resolved before additional non-emergency appointments may be scheduled unless another arrangement has been approved in writing.

When appropriate, the practice may offer a written payment arrangement. Approval is discretionary and depends on the amount owed, clinical circumstances, and prior payment history. Failure to comply with an approved arrangement may result in the full remaining balance becoming due.

Unpaid balances may result in paused non-emergency services, canceled future appointments, required prepayment, discharge from care, or referral to a third-party collection service when permitted by law and consistent with professional obligations.

The practice will not take collection action that is prohibited while a qualifying federal patient-provider billing dispute is pending.

Fees for completed clinical services are generally nonrefundable. Duplicate charges, processing errors, verified overpayments, and other billing errors will be corrected when identified.

Any approved refund will generally be returned to the original payment method when possible. Processing times are controlled in part by the payment processor and financial institution.

If you believe a charge is incorrect, please contact the practice promptly so the charge can be reviewed. You retain any rights available through your card issuer or applicable law.

Initiating a chargeback does not automatically eliminate financial responsibility for a valid charge. The practice may provide the payment processor with appointment, authorization, policy-acceptance, and billing records necessary to respond to a payment dispute, consistent with applicable privacy law.

Requests for school or workplace documentation, disability/FMLA/FAMLI forms, accommodation letters, record review, legal or administrative letters, or other non-routine documentation are not automatically included in appointment fees.

These requests may require an established treatment relationship, additional evaluation, record review, appointment time, and clinical justification. If an administrative fee applies, the amount or method used to calculate the fee will be disclosed before the work begins. Documentation that is not clinically appropriate, factually supportable, or within the clinician's scope may be declined.

Routine scheduling questions, brief refill requests, and ordinary portal messages are generally handled as part of ongoing care when clinically appropriate.

Extensive clinical messaging, lengthy telephone consultation, substantial record review, or non-routine coordination with outside clinicians, schools, attorneys, employers, or agencies may require a scheduled visit or a separately disclosed administrative fee. If a fee applies, it will be communicated before billable administrative work is performed whenever reasonably possible.

Appointment fees do not include prescription medications, laboratory testing, imaging, emergency services, hospital care, psychotherapy provided by another clinician, pharmacy charges, or services from outside organizations.

Those charges are determined and billed separately by the pharmacy, laboratory, facility, clinician, or organization providing the service.

Eligible patients with commercial insurance may request a superbill for self-pay services after the service has been rendered. The superbill may include diagnosis and procedure information required for reimbursement.

A superbill does not create an obligation for the practice to submit a claim, appeal a denial, obtain authorization, or guarantee payment by the insurer. Reimbursement, if any, is determined solely by the health plan.

The practice may revise fees, cancellation terms, administrative charges, or financial procedures as operations, payer participation, or legal requirements change.

Material changes will be posted on the practice website or communicated through another reasonable method. The fee shown in the secure scheduling system at the time of booking is the current listed appointment fee.