Office Policies

 

First Visit

A $100 deposit is required to reserve a First Visit Appointment with Dr John. This deposit counts toward the first visit $185 fee.

If a first visit is missed or is cancelled within a week of the scheduled time, this deposit is not refundable or transferable. One exception would be if the appointment were changed to a day or time slot that is earlier/sooner than the original, if such a re-schedule is possible.

Payment is due at time of visit by credit card, debit card, check, or cash. Insurance billing forms are generated for patient use for insurance reimbursement.

Download, Fill Out, and Bring to Your First Visit

4 pages of First Visit Patient Forms

If you already have an X-ray and / or MRI, and/or written report, bring them to your first visit.

If an automobile or on the job injury is connected to your first appointment, inform office assistant and download and fill out:

Personal Injury Questionnaire

Personal Injury Cases

Auto accident/personal injury cases are accepted, no lawyer lien.

Workers' Compensation Cases

Workers Compensation cases are accepted. Authorization is required prior to first visit.

X-ray and MRI

Not required for initial visit, and prescribed only if clinically necessary.

If you already have an X-ray and / or MRI, and/or written report, please bring them to your first visit.

Cancellation or Re-scheduling an Appointment

Dr John Appointment Policies Document

Below is a simplified summary of this document:

  • First visit appointment deposit: non-refundable / non-transferable if cancellation is made within one week

  • Establish patient appt - cancel more than 24 hrs notice: no charge

  • Establish patient appt - missed appointment, no notice: $50

  • Establish patient appt - cancel less than 4 hours notice: $40

  • Establish patient appt - cancel less than 24 hours notice but more than 4 hrs notice: $30

  • Establish patient appt: changing appt to a later time slot in same day: $20 (changing to earlier time, no charge)