As a patient of our Practice, you have certain rights and responsibilities. Please Review Carefully.
You Have The Right To:
• Present your insurance card and proper identification prior to receiving services.
• Pay all charges, if any, for appointments and non-covered services at the time service is rendered.
• Accept personal financial responsibility for any charges not covered by your insurance.
Administrator Shall Ensure That:
If at any time you have questions or concerns regarding your Rights and Responsibilities, please ask to speak with the Site Manager or contact the Compliance Department at (602) 688-6116.