CHAMBERLAIN FAMILY DENTISTRY PATIENT POLICIES

Our office policies statement is designed with you, the patient, in mind.

Revised February 2019

Financial Policy

The fee for your treatment will be based on the extent of treatment and can vary greatly. Depending on the extent of your treatment, during your first visit we will discuss the probably number of visits, their length, and the fees involved. Fees vary based on the necessary procedure and it is our policy that your care is paid for at the time of treatment. Our office is committed to working with you and your insurance company to maximize your insurance benefits. We are preferred providers for Delta Dental, and we will file claims for all other major insurance companies on your behalf. In order for our office to file your insurance claims you must provide us with all the accurate information prior to your appointment. If we are unable to verify your insurance coverage you will be required to pay the entire balance at the time of your appointment. You are also responsible to make our office aware of any changes to your insurance. All deductibles and patient portions are due the day a service is provided. If your insurance company reimburses at a higher rate, we will provide you with a refund. Occasionally insurance companies will not cover the entire remaining balance. When this occurs, you will be responsible for the balance. Invoices over 30 days are subject to 1.5% monthly finance/late charge. If balance is not paid within 90 days, collections/legal action will be taken.

We accept cash, checks (returned checks are subject to a $40 fee), Visa, Mastercard, Discover and American Express. For your convenience we also offer CareCredit. To learn more about interest free financing through CareCredit, please visit their website at www.carecredit.com

Late Arrivals

We do not over-book our schedule. This means your appointment time is reserved especially for you. If you do not come, not only is your own care delayed, but no one else is able to be treated during that time. We expect our patients to arrive on time for their scheduled appointment. Please note that we will have to reschedule your appointment if you arrive more than 15 minutes late. If you are habitually late, two (2) or more times, your appointment will be considered a missed appointment and will need to be rescheduled. You will be charged a fee of $25 for each missed appointment. This can also result in being dismissed as a patient.

 

Missed Appointment/Failure to Show/Cancellations

We do not over-book our schedule. This means your appointment time is reserved especially for you. If you do not come, not only is your own care delayed, but no one else is able to be treated during that time. All patients who fail to arrive for their reserved appointments or who cancel without 24 hours advance notice without contacting our office within the required time, will be considered a missed appointment. We reserve time especially for you. If you need to change your appointment, we ask for a minimum notice of 24 hours. According to our office policies, please be advised that you will be charged a fee of $25 for your second (2nd) missed appointment. Please note that this missed appointment fee is NOT covered by any insurance plans and is your responsibility to pay. If missed appointments become repeated, any future appointments will require a credit card number to be kept on file and used immediately for a missed appointment fee. No future appointments can be scheduled nor can records be transferred without the payment of this fee, After your third (3rd) missed appointment, you may be dismissed as a patient.

 

Reminder Calls/Texts/Emails:

Reminder calls/texts/emails are a courtesy to our patients. Please be sure to give us a current phone number/email where you can be reached for confirmation prior to your appointment. If this line is busy or otherwise unavailable, we regret that we do not have enough staff to repetitively attempt to contact you. For this reason, do not rely on a reminder call/text/email from our office staff.

 

Guests in Treatment Areas

Parents of patients are welcome to accompany their child during their visit to our office. However, we ask that parents allow their children to experience the office without parental support. This allows the child to establish an uninterrupted relationship with the doctor and dental assistant that enables them to gain confidence during dental treatment. Our staff is experienced and trained in early childhood behavior and will make a great effort to ensure that your child feels comfortable in these new surroundings. Since this first visit will establish their initial attitudes towards dentistry, it is very important to make this appointment a positive encounter. We also request that children under the age of 10, are accompanied by an adult in the waiting area while parent/s are with the Doctor or Hygienist.

 

If you have any questions regarding this policy, please let our staff know and we will be glad to clarify any questions you have. We thank you for your patronage.

  

 

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