By accessing and using the Compassionate Care Behavioral Health website, you agree to the following terms and conditions regarding your financial responsibility for services received through the website.
- Payment Policy: You agree to pay for all services received through the Compassionate Care Behavioral Health website at the time they are rendered unless prior arrangements have been made with the office.
- Insurance: If you have insurance coverage, you authorize Compassionate Care Behavioral Health to bill your insurance carrier for services rendered through the website. You understand that you are responsible for any co-payments, deductibles, or non-covered services as stated in your insurance policy.
- Uninsured Patients: If you do not have insurance coverage, you agree to pay for all services in full at the time they are rendered through the website.
- Returned Payments: You understand that there will be a $35 fee for any returned payments made through the website.
- Payment Plan: If you are unable to pay in full at the time of service, you agree to make payment arrangements with Compassionate Care Behavioral Health. You understand that failure to keep your payment arrangements may result in the termination of services.
- Collections: If you fail to pay for services received through the website, you understand that your account may be sent to a collections agency.
- Changes to Agreement: You understand that Compassionate Care Behavioral Health reserves the right to change its payment policies at any time.
By using the Compassionate Care Behavioral Health website, you acknowledge that you have read and agree to the above Financial Responsibility Agreement and will abide by its terms.
Date: 02/03/2023
