Fees & Policies

Office visits & phone consultations.

Individualized programs for optimal functioning of the body and mind
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Fees and policies for office visits and phone consultations
Questionnaires and educational materials for my nutritional medicine patients

HOURS AND AVAILABILITY
Chiropractic, Nutritional Evaluations, and other consultations are scheduled by appointment only. Chiropractic evaluations are scheduled according to the purpose of such evaluation. In the event of an urgent need between appointments, call me at 707-279-0200. If you leave a message, I will return your call as soon as possible. In a crisis situation, you should contact your local emergency room and ask to see the attending physician. The emergency room staff should be given release to contact me if appropriate, as well as your primary care physician.

CONFIDENTIALITY
The confidentiality of communication from you to me is legally protected. In most legal proceedings, you hold the Chiropractic physician-patient privilege, which protects the confidentiality of the content of your health services and relationships. Information can be released only with your written permission, except in some specific situations. For instance, reports may be required when abuse to a child, elderly, or disabled person is suspected or when a person is in grave danger to himself or others. Please note that consultations among health care professionals are customary efforts to optimize the effectiveness of treatment. Laws bind the confidentiality of clinical matters discussed during consultations.

RELEASE OF INFORMATION
It may be important that I obtain records, x-rays or lab work from other professionals to help me in your care. Once you have provided consent for treatment, the information received from other professionals is kept confidential.

In order for you to receive reimbursement for Chiropractic care and Chiropractic evaluation costs, most insurance companies require that you authorize the release of confidential clinical information from me to them (e.g., diagnosis, treatment plans, treatment summaries, and occasionally entire treatment records). At your request, I will furnish the information necessary for you to obtain reimbursement when your insurance benefit covers a portion of the cost of services for Chiropractic care. It is important to bear in mind, however, that once your insurance company has this information, I no longer control its confidentiality.


PAYMENT AND FEES
I'm not on any insurance company's provider list. This means that the services I provide are out-of-network. If you choose to use your insurance, you will obtain insurance reimbursement on your own by filing the necessary records and forms, and follow the procedures required by your insurance company. Your insurance plan determines how much reimbursement you will get. It is very important that you find out exactly what services your policy covers. In some cases, advanced authorization is required, and many companies will authorize only brief services, pay only a portion of the cost of services, or reimburse for services provided only by their network providers. At your request, I will provide you the information necessary for you to be reimbursed according to your insurance policy. Preventive Nutritional Medicine is usually not covered under current health policies.

You will make payment directly to me and the fees are due at the time of each visit. I accept payment by credit card, check or cash. Phone-consultation patients who want to pay by check should send their check within one week following their consultation.

FEES ARE AS FOLLOWS:
   New Chiropractic patient evaluation (75 minutes) $100
   Regular Chiropractic office visit $40 per ½ hour
   Metabolic Constitutional Assessment $140
   Metabolic Constitutional Assessment and
   Coaching program
$260
   Phone Consultation $20 per 15 minutes

I do not charge for time (<10 minutes) that I spend coordinating care with physicians or other professionals.

CANCELLATION POLICY & LATE ARRIVALS:
Please provide advanced notice when canceling an appointment. The standard appointment fee will be charged when less than 24-hours advanced notice is given before a cancellation. Clients are asked to call/arrive at the scheduled time. Late call-ins or arrivals may result in a shortened appointment, depending on doctor's schedule.

Dr. Carmen May Marcadis
707-279-0200

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