• Patients with insurance that we work with must complete the attached form. Out-of-pocket co-pays as indicated by the provider, will be expected at the time of service rendered. The balance will be billed accordingly to your insurance.
    • Patients who do not have insurance or those with insurance that we are not a provider for, are expected to pay in full at the time of treatment. We accept American Express, Visa, MasterCard and Discover.
    • For patients who are in need of financial assistance, we offer a flexible monthly payment option for up to 6 months, through CareCredit.

Click here to download Financial Agreement form.