There will be charge which includes your required co-insurance, convenience fee and patient's responsability at the time your appointment is made.
IF YOUR COPAY IS: |
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IF YOUR COPAY IS : |
$35.00 |
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$15.00 |
PATIENT RESPOSABILITY IS |
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PATIENT RESPOSABILITY IS |
$30.00 |
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$20.00 |
$65.00 |
TOTAL |
TOTAL |
$55.00 |
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-refundableÊ $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.
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