Financial Policy

Thank you for choosing our services for your needs. Please read the agreement below that outlines billing, scheduling and cancellation procedures. You will be required to sign this policy as part of your New Patient Intake process. If you have any questions, please ask for clarification.

• Payment of all fees is expected at the time of service or via credit card on file.

• I hereby authorize payment of medical benefits directly to Balanced Wellness for all services rendered where applicable.

• Out-of-pocket payments can be made via credit/debit card, cash, check or care credit and are due on the date of your appointment. Please make checks payable to Balanced Wellness. There is a $100 fee for all returned checks.

• I am responsible for the full amount of all services.

• I will be responsible to pay a $300 late cancel fee for any missed or cancelled initial visits, not made at least 24 hours in advance prior to the scheduled appointment time.

• If I default on my account, I understand I will be subject to finance and/or legal fees in addition to the total account balance.