Minor Patients. In the case of divorced or separated parents, it is YOUR responsibility to have financial arrangements made according to the divorce decree before treatment begins.
Minor Patients. The adult accompanying a minor and the parents (or guardians) of the minor are responsible for full payment. For unaccompanied minors, non-emergency treatment will be denied unless services have been pre-authorized by the parents (or guardians) and payment has been made before or at the time of service in accordance with item number 3 above.
Minor Patients. The parent or guardian accompanying the minor is responsible for full payment. In the case of divorced or separated parents, the parent accompanying the child is responsible for payment, without any exception. This office will not attempt to collect payment from a parent that is not present in the office at that visit.
Minor Patients. The adult accompanying a minor and/or the parents (or guardians) are responsible for full payment at the time of service.
Minor Patients. The parent/guardian of a minor is responsible for payment of the minor’s account balance. Responsibility for payment of treatment of minor children, whose parents are divorced, rests with both parents. Any court-ordered responsibility judgment must be determined between the individuals involved, without the inclusion of Napa Centre.
Minor Patients. The parent or guardian accompanying the minor is responsible for full payment. In the case of divorced or separated parents, the parent accompanying the child is responsible for payment, without any exception. This office will not attempt to collect payment from a parent that is not present in the office at that visit. A $25.00 charge applies when a check is returned by the bank.
Minor Patients. The adult accompanying the minor is responsible for the payment on the account. For unaccompanied minors, non-emergency treatment will be denied unless charges have been pre-paid.
Minor Patients. The parent or guardian accompanying the minor is responsible for full payment. If someone else is bringing the child we need to have your permission to discuss treatment and or approve of treatment needing to be done in the office that day by that adult. At that time we can also let you know the copay so the adult bringing them can be prepared. A finance charge or rebill fee will be applied to all balances not paid within 60 days of the monthly billing date. A late charge of 1.5% on the balance then unpaid or a 3.00 fee for rebill (the higher of the two) will be assessed each month until paid. It is your responsibility to ensure your insurance company pays promptly so you can avoid finances charges. ANY BILLING DECREPANCIES MUST BE SETTLED WITHIN 30 DAYS OF THE FIRST BILLING DATE.
Minor Patients. For all services rendered to minor patients, we will look to the adult accompanying the patient for payment, even if that adult is not the financially responsible party.
Minor Patients. The adult accompanying the minor (under the age of 18) is responsible for full payment of the services provided. A parent or legal guardian MUST accompany the minor unless prior arrangements have been made.