ASHN

FIRST ALTERNATIVE

CHIROPRACTIC

ASHN

AMERICAN SPECIALTY HEALTH NETWORK

Neuromuscular Therapy

There will be charge which includes your required co-insurance and a convenience fee at the time your appointment is made.

We require a credit card on file in order to reserve your appointment.
Your credit card will NOT be charged until the day of your appointment.
There is a non-refundable $45.00 charge if 24 hour cancellation notice is not given.
There is NO charge for rescheduling your appointment 24 hours in advance.
Please follow your Recommended Care Plan.

IF YOUR COPAY IS	$15.00	$35.00
YOUR CONVENIENCE FEE IS	$10.00	$10.00
50 MINS. NEUROMUSCULAR THERAPY	$45.00	$45.00
YOUR PATIENT RESPONSABILITY IS	$50.00	$40.00

YOU ARE READY TO
RESERVE YOUR APPOINTMENT
click below

September 27, 2007