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
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 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
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)