32 Stiles Road Suite 207 Salem, NH 03079
phone icon603-898-8611

Office Financial Policy

Financial Agreement

Appointment cancellation policies:

Our office cancellation policy has been put in place to allow us to provide exceptional service to our patients by ensuring we can reserve appropriate time for all patients. We require that you provide the office with at least 48-HOURS’ notice in the event that you need to make changes to your appointment. This 48-hour window will provide us with enough time to schedule other patients waiting for treatment into that appointment. If you miss or change an appointment without at least 48-hours’ notice, we reserve the right to charge your account a broken appointment fee of $50.00. Note that this fee is your direct responsibility to pay and cannot be billed to your insurance company. This fee will need to be paid before future appointments can be scheduled or any records can be transferred.

For any patient that arrives more than 15 minutes late for their scheduled appointment without prior notice, a $50.00 fee may be charged as this is considered a missed appointment.  

Insurance

We do our best to work with our patients to verify insurance benefits and eligibility prior to service. Considering that insurance plans are a contract between only the insurance company and your employer, we do not always have the best access to the plan’s coverage. We give all our patients our best estimate of possible copays and treatment plans keeping in mind insurance coverage, but in the case that the insurance company falls short of compensation, the patient will be held responsible for outstanding charges.

Financial Agreement

Payment for treatment is due at the time of service. We accept payment by cash, check, Visa, MasterCard, Discover, FSA/HAS, and CareCredit.

Most Insurance Accepted: