POLICIES

 

Appointment Scheduling & Confirmation

Appointments are not fully confirmed until all required steps are completed, which may include:

• Completing required forms

• Providing a valid card on file

• Paying any required deposit

Unconfirmed appointments may be released to other patients.

 

Deposits

Some appointments require a deposit to hold your time.

• Deposits are applied to your visit.

• Deposits are nonrefundable if you cancel or reschedule with less than 7 days’ notice, or if you do not show for your appointment.

• Deposits are forfeited for missed appointments.

 

Cancellation & Rescheduling

We require at least 7 days’ notice to cancel or reschedule appointments that require a deposit.

Cancellations or reschedules with less than 7 days’ notice:

• Result in forfeiture of the deposit

• Do not transfer to future appointments

This policy applies regardless of reason, including illness or schedule conflicts.

 

Missed Appointments (No-Shows)

If you do not arrive for your appointment and have not canceled in advance:

• Your deposit is forfeited

• If no deposit was collected, a missed appointment fee WILL be charged

 

Fees & Payments

Payment is due at the time of service.

• No prior payment arrangements are available.

• We accept cash, credit card, and HSA/FSA cards.

• Cards kept on file WILL be charged for:

  • Missed appointments

  • Late cancellations

  • Outstanding balances

 

Leaving an Appointment After Check-In

An appointment is considered checked in when staff provides intake forms or begins the check-in process, even if forms have not yet been completed or signed.

If you arrive for your appointment, are checked in, and then choose not to proceed with the visit — including leaving after reviewing fees, estimates, or recommendations — the appointment is considered used time.

• Deposits are forfeited

• Any applicable same-day appointment fee WILL be charged

• Insurance estimates do not obligate the office to alter fees or services

Choosing not to proceed after check-in does not negate the reserved appointment time.

​

Insurance

Insurance is a contract between you and your plan.

• We are happy to provide benefit estimates, but coverage is not guaranteed.

• Patients are responsible for any balance not paid by insurance.

• Many plans include out-of-network benefits that patients may submit for reimbursement.

 

Exam Types & Scheduling

• Binocular Vision Dysfunction (BVD) / NeuroVisual evaluations require a deposit to schedule and are not routine vision exams.

• Routine vision exams are scheduled by phone.

 

Agreement

By scheduling an appointment with our office, you acknowledge and agree to these policies.