Broken appointments represent a cost to us, to you and to other patients who could have been seen in the time set aside for you. Once an appointment is scheduled, you will be expected to pay $50.00 if it is not cancelled unless you provide a 24 business hour advance notice of cancellation. (For example, to cancel an appointment for 9AM on Monday, you would need to call before 9AM the previous Friday.) These charges cannot be billed to your insurance company. Please help us serve you better by keeping scheduled appointments and calling the office at least 24 business hours prior to your appointment time if you must cancel. Excessive cancelations of scheduled appointments may result in discharge from the practice.
Completing insurance forms, copying medical records, writing letters etc. requires office staff time and time away from patient care we require pre-payment for completing forms, copying medical records, notarizing, or for extra written communication by the clinician. Form Completion $75.00 per document. Treatment Status Letters $10.00. Copying fees for Medical Records is .75 cents for each page. Alssaro Counseling Services, PLLC will have 15 business days in which to copy records before making them available for patient to pick up, and these 15 days will commence after payment for copying has been received and after patient has signed this form authorizing records’ release.