Practice Policy for Patients

OFFICE HOURS:

Thursday 10 am- 7 pm

Friday    10 am – 7 pm

Saturday 9 am – 6 pm

Limited availability outside of these hours. Please call or email to see if Dr. Squires can accommodate you.

MEDICAL RECORDS FROM OTHER DOCTORS/CLINICS/HOSPITALS

Medical records can only be released with your authorization.  It is your responsibility to obtain previous medical records from other physicians, or health care providers that you wish Dr. Squires to review. Please contact your physician or other health care provider to obtain these records and make sure to bring them to your visit or email them ahead of time to drsquires@balancedmedicineclinic.com

CANCELLATION AND RESCHEDULING

There is a 24-hour cancellation and rescheduling policy. Your appointment must be canceled or rescheduled at least 24 hours prior to your consultation time or you will be charged a cancellation fee unless I am able to fill your appointment time.  The cancellation fee for a patient is $100.00 . You may cancel your appointment by calling, emailing, or online.

FOLLOW-UP APPOINTMENTS

At the time of check out, you will be scheduled for a follow-up appointment.  I will assume you will honor this appointment time unless you call or email at least 24 hours prior to your scheduled appointment.

PAYMENT OPTIONS

Cash, Check, Credit Card, or Health Savings Account (HSA) are accepted methods of payment for services.

INSURANCE INFORMATION

Medical insurance is not accepted and our office cannot assist you with claim resolution. You will be provided with a billing summary or receipt that you can submit to your insurance carrier.  Look under the FAQ page for more information regarding insurance.

Patient Forms

Balanced Medicine Clinic Medical Questionnaire

ND Consent Form

Acupuncture Consent Form

Injection Therapy Consent Form

EMAIL Consent Form