Plantar Fasciitis & Heel Pain Patient Information - Marlborough, CT Podiatrist
New Patient Registration Form
Notice of Privacy Practices
OUR INSURANCE POLICY
We are members of most, but not all insurance plans. Please contact your insurance company, if you have any questions concerning your benefits. You must present your insurance card with every visit. We will submit our charges to your insurance company. Any deductible, co-insurance amounts, co-payments or “denied” services will be your responsibility. If payment is not received from the insurance carrier or other responsible party in 90 days, you will be billed directly.
Payment is due at the time of service, unless prior arrangements have been made. All returned checks will be charged back to you with an additional fee of $25. Past due balances may be subject to additional fees.