73 Center St, Rutland, Vermont 05701, United States
Phone: (802) 277-2020, eFax: (866) 271-4702
Phone: (802) 277-2020, eFax: (866) 271-4702
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In order to best utilize your time with me, there are forms you will be asked to complete through the patient portal before our first appointment. If you do not have access to the internet, or need help accessing the patient portal (access will be granted once we've agreed to schedule an initial evaluation appointment), please let me know so I can mail you paper copies in advance of your scheduled appointment.
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Definition of a No Show: Failure to attend a scheduled appointment with Amber without 24 hours notice of cancellation, except in the case of an emergency or illness. It is the patient's responsibility to ensure they do not double book themselves and are able to attend their scheduled appointments with Amber.
This fee will be due at the patient's next scheduled appointment. If it is not paid at that time, or before, any future appointments will be put on hold until this fee is paid or at least one installment on a payment plan has been made.
Same payment expectations as noted above.
(Note: Medicare & Medicaid do not allow Providers to charge No Show fees. Two No Shows will result in a probationary period of up to 6 months of same day only appointments. If there is a transportation issue that would result in a No Show, you may avoid this by contacting Amber before your scheduled appointment to switch to a video appointment.)
**Repeated failure to attend appointments may result in termination of services at the discretion of the Provider, even if the patient gave sufficient notice to cancel or reschedule. Patients that do not engage in services for more than 6 months will not be guaranteed services or refills.**
You will be responsible for any costs not covered by your insurance, so check with your insurance plan about the % for which you are responsible. You will receive a bill from our office with balance owed, which is expected to be paid upon receipt. Payment plans are available for patients who need to budget their payments. Co-pays are due at time of service.
Co-pays are due at time of service. See payment methods below. If you are unable to pay at time of visit you need to inform me in advance and create a reasonable payment plan.
It is your responsibility to request a copy of the Self Pay Fee Schedule prior to scheduling your first appointment. You will be responsible for paying the Self Pay Fee if you do not want your insurance billed by this office, if you have an insurance that we do not accept, or if you do not have health insurance.
These rates also apply if your health insurance is not active at the time of your visit and you attended your appointment anyways.
Fees are subject to change at the discretion of the practice. Any fee changes will be posted at the office. If you have any questions about fees do not hesitate to ask.
Payment plans may be developed on an individualized basis. Please request a payment plan if you are unable to pay your bill in full at the time of service or when you receive your bill.
*Failure to adhere to an agreed upon payment plan may result in suspension of services until balance owed has been paid and/or termination of services at the discretion of the practice. If you find yourself struggling to keep up with payments do not postpone revising your payment plan with me.*
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