Office Policies

Payments

When verifying benefits, please note that it is not a guarantee of payment. Patients are responsible for all co-pays, deductibles, co-insurance amounts, and non-covered services.

  • All co-pays and account balances are due prior to seeing the doctor.
  • Deductibles, co-insurance, and additional charges will be collected at check-out.
  • Patients must provide accurate insurance information and present their insurance card at each visit.
  • If your plan requires a referral, it is your responsibility to obtain it before your appointment.
  • Returned checks incur a $35 fee.
  • Patients (or guardians for minors) are responsible for legal and collection fees if an account is turned over for non-payment.
  • Our team will assist with claim submissions when possible, but you are ultimately responsible for all charges. We cannot retroactively file insurance claims for visits marked as self-pay or for non-covered services.


Cancellations

When an appointment is scheduled, that time is reserved for you.

  • Please cancel or reschedule at least 24 hours in advance.
  • You may leave a message on our 24-hour cancellation line.
  • Missed appointments without notice will result in a $30 No-Show/No-Call Fee.


While reminder calls are provided as a courtesy, it remains the patient’s responsibility to track appointments.


Medical Records

  • Requests must be made 48 hours in advance of the needed date.
  • Copy fee: $25 (non-refundable).
  • X-ray copy fee: $10 (non-refundable).
  • No faxing or emailing of records to patients or family members.
  • Fees must be paid before pickup.
  • Photo ID and signed release are required at the time of pickup.


Completion of Forms

There is a $25 one-time fee for completing forms such as Disability Applications, FMLA, and Physician Certification Statements.


Refunds (Insurance Only)

Insurance companies have up to 90 days to process claims.


Once all payments are received and your balance is cleared, refunds will be issued within 30 days upon request.


Returns

All items dispensed during your visit are final sale.

  • No returns on custom orthotics, over-the-counter inserts, diabetic shoes, or diabetic inserts.
  • HIPAA and Missouri health regulations prohibit re-sale of medical products.


Patient Statements

  • Statements are mailed to the address on file.
  • Please keep your contact information updated.
  • A 5% late fee applies for every 30 days of unpaid balance.
  • After three notices, unpaid accounts will be sent to collections.
  • Patients with delinquent accounts will not be seen until balances are paid in full.


All patients are required to sign our Office Financial Agreement annually.