NWPC Financial Policy

Missed and Canceled Appointments

We request that you notify us 24 hours in advance when canceling a scheduled appointment. We reserve the right to charge a fee of $40 for any appointment missed or canceled without reasonable notice.

Financial Responsibility

Patients or their legal guardian(s) are financially responsible for all services received.

If you do not pay your co-payment at the time of the service, a $25 billing fee will be charged.

Overdue accounts are subject to a rebilling fee of $10 per month and may be placed on a cash payment basis for future appointments.

If you are required to pay for treatment at the time of service and are unable, your appointment may be rescheduled.

A $25 fee will be assessed for checks returned by your bank for any reason.

Failure to meet your financial responsibility may result in collection or legal actions. Accounts that are turned over to a collection agency will be assessed a collection account fee of 10% of the outstanding balance.

Credit and Payment Policy

Due to the changing nature of health insurance, this policy is subject to change without advance notice. For the most recent copy, ask our front desk staff.