FINANCIAL POLICY
It is the policy of Faulkenberry Chiropractic, to collect payment in full at the time services are rendered. Prior to, or at the time services are rendered, we will quote you your financial responsibility based on your individual insurance coverage.
While we make every attempt to be as accurate as possible, you may have a balance or credit due, depending on the service provided, and/or the adjudication process with your insurance carrier. We accept cash, check and most major credit cards. We also accept Care Credit for your convenience.
In the case of an Auto Accident we will file a Medical Lien to the 3rd party insurance to insure payment for serves rendered
There will be a $10.00 fee added to your account if you miss any appointments and fail to call 12 hours prior, after 3 no call/no show you will be charged a $50 fee.
Thanks again for choosing Faulkenberry Chiropractic for your Chiropractic needs. We look forward to serving you.
I understand the above information and will be responsible for the patient list below: