Policies

No show policy

Regular appointments
We request at least 24-hours notice for any appointment cancellation. We charge $25 per appointment if the patient does not show or if the appointment is canceled less than 24-hours in advance.

Surgical appointments
We request at least 72-hours (three days) notice for appointment cancellation. We charge at the rate of $200 per hour (based on the amount of the appointment's time length) if the patient does not show or if the appointment is canceled less than 72-hours (three days) in advance.

Co-payment policy

Any insurance co-payment due is expected at the time of service. There is a $10 monthly fee if you fail to pay your co-pay at the time of service.

Letter fees

Due to the time and labor involved, we charge $25 per letter written for insurance, prior-authorization, or work-related issues.

Request release of medical information fees

Patients often request copies of their medical records to be sent to other providers and/or hospitals. For this service, we charge the State of Illinois's set fee. Amounts vary based on the number of pages we release. You will need to sign a permission form requesting the medical information release.