PATIENTS
Your Office Visit!
New patients, please arrive 15 minutes prior to your appointment time to complete our new patient intake. Bring a valid photo ID, your insurance card(s), and a medication list.
While we do our best to see our patients on time, please keep in mind there may be patients presenting with more complicated issues that may require more time from the provider. We understand everyone has busy schedules, if we are unable to see you at the time of your appointment our front desk will offer to reschedule your appointment.
We appreciate, in advance, your patience and consideration.
New patients, please arrive 15 minutes prior to your appointment time to complete our new patient intake. Bring a valid photo ID, your insurance card(s), and a medication list.
While we do our best to see our patients on time, please keep in mind there may be patients presenting with more complicated issues that may require more time from the provider. We understand everyone has busy schedules, if we are unable to see you at the time of your appointment our front desk will offer to reschedule your appointment.
We appreciate, in advance, your patience and consideration.
Patient Portal
For your convenience, we use our patient portal to keep our patient health information updated! Once you've registered, you may update your patient information.
For your convenience, we use our patient portal to keep our patient health information updated! Once you've registered, you may update your patient information.
Patient Forms
ALL patients will complete our patient forms. Please click here to download the New Patient Forms or you may complete these forms at the time of your visit. If you choose to complete these forms prior to your new patient visit, you can either fax them to 314-338-3495 or bring them with you to your visit.
Medical records request forms must be completed by the requestor prior to medical records being released.
Please click here if you are requesting medical records for us to send to another office.
Please click here if you are requesting medical records.
ALL patients will complete our patient forms. Please click here to download the New Patient Forms or you may complete these forms at the time of your visit. If you choose to complete these forms prior to your new patient visit, you can either fax them to 314-338-3495 or bring them with you to your visit.
Medical records request forms must be completed by the requestor prior to medical records being released.
Please click here if you are requesting medical records for us to send to another office.
Please click here if you are requesting medical records.
Insurance
Our office is in-network with most major insurance plans and, is covered by most worker’s compensation plans. However, we strongly urge our patients to contact their insurance provider to confirm provider participation. The patient is responsible for co-payment amount on the day of service.
For patients without insurance coverage, we offer cash services; however, payments are due at the time of the visit.
If you would like to know if Custom Orthotics are covered under your existing insurance plan, please click here to download the guide for calling your insurance provider for coverage.
Click here for Medicare Guidelines for foot care.
Our office is in-network with most major insurance plans and, is covered by most worker’s compensation plans. However, we strongly urge our patients to contact their insurance provider to confirm provider participation. The patient is responsible for co-payment amount on the day of service.
For patients without insurance coverage, we offer cash services; however, payments are due at the time of the visit.
If you would like to know if Custom Orthotics are covered under your existing insurance plan, please click here to download the guide for calling your insurance provider for coverage.
Click here for Medicare Guidelines for foot care.
Referrals
Some insurance plans require a Primary Care Provider (PCP) referral to see a Specialist. It is the patient's responsibility to obtain that referral. Once a referral is received, our office will schedule your visit.
Like most referrals, there is a valid from date and expiration date OR a limited number of visits allowed. Our office will inform you if the referral or visit expiration prior to your next appointment. At that time, the patient will be responsible for obtaining an updated referral from their PCP.
If you are not sure if your insurance plan requires a referral to see a Podiatrist, please contact your insurance provider to verify.
Some insurance plans require a Primary Care Provider (PCP) referral to see a Specialist. It is the patient's responsibility to obtain that referral. Once a referral is received, our office will schedule your visit.
Like most referrals, there is a valid from date and expiration date OR a limited number of visits allowed. Our office will inform you if the referral or visit expiration prior to your next appointment. At that time, the patient will be responsible for obtaining an updated referral from their PCP.
If you are not sure if your insurance plan requires a referral to see a Podiatrist, please contact your insurance provider to verify.
Office Policies
PAYMENTS: When verifying benefits, it is never a guarantee of payment per your insurance company’s disclaimer. Patients are responsible for all co-‐pays, deductibles, co‐insurance amounts, and non-covered services. The Patient/Guardian is aware that their insurance company may not make payment on a claim and that it will be the Patient’s/Guardian’s responsibility to do so.
PAYMENTS: When verifying benefits, it is never a guarantee of payment per your insurance company’s disclaimer. Patients are responsible for all co-‐pays, deductibles, co‐insurance amounts, and non-covered services. The Patient/Guardian is aware that their insurance company may not make payment on a claim and that it will be the Patient’s/Guardian’s responsibility to do so.
- All Co‐Pays are due at the time of your appointment prior to seeing the doctor.
- Account balances must be paid in full at the time of your appointment prior to seeing the doctor.
- Deductibles, Co-‐insurance, and any additional charges will be collected at the time of check out. You are ultimately responsible for all payment of charges for services from our office.
- It is your responsibility to provide accurate insurance information and to present your insurance ID card at the time of your visit.
- If your plan requires a referral, it is your responsibility to obtain this prior to being seen.
- It is our desire to help you as much as possible with claims that are submitted to your insurance company, you will be responsible for the payment.
- We do not go back and submit claims to patients’ insurance companies if at the time of visit they had requested to be self-‐pay or if at the time of visit their insurance company states the service/product is non‐covered.
- Returned check fee is $35.00
- The Patient will be responsible for all Attorney Fees, Legal Fees, and Court Costs if the account is turned over to collections.
- If the patient is a minor the Patient’s Legal Guardian will be responsible for all Attorney Fees, Legal Fees, and Court Cost if the account is turned over to collections.
- When an appointment is scheduled, that time has been set ‐aside for you and when it is missed, that time cannot be used to treat another patient.
- Cancellations for appointments and procedures must be received 24 hours prior to the scheduled appointment. You may leave a 24-hour cancellation message on the answering machine.
- Patients who fail to keep or cancel a scheduled appointment will be charged a $30.00 No-Show /No‐Call Fee. (We make reminder calls as a courtesy, but it is your responsibility to keep track of your appointment).
- Medical Records requests must be received at least 48 hours prior to the date needed.
- There is a non-refundable fee of $25.00 for requested copies of medical records.
- There is an additional non‐refundable fee of $10.00 for requested copies of X-‐rays.
- WE DO NOT FAX OR EMAIL MEDICAL RECORDS TO PATIENTS OR FAMILY MEMBERS.
- Fees must be paid prior to the pick-up of medical records.
- ALL patients will provide a photo ID when collecting medical records and will sign a release upon collecting records.
- There is a one-time fee of $25.00 for completion of forms. These include, but not limited to Disability application, Family Medical Leave Act (FMLA), Physicians Certifying Statements, etc.
- An insurance company has Ninety Days to process your claim. Even after Ninety Days, the insurance company may still be processing your claim.
- Once we have received confirmation and payment from your insurance company and the remaining balance on your account is paid in full, upon request a refund check will be issued to you within 30 days.
- ALL items dispensed at the time of your visit are final.
- We do not accept returns for any reason on custom orthotics, over-the-counter orthotic inserts, or medical products that have been made specifically for you or dispensed to you by the doctor in the office.
- We do not accept returns for any reason for diabetic shoes or diabetic inserts since shoes and inserts are fitted at the time of dispense.
- HIPAA and Missouri Health Regulations prohibit the re‐sale of these products.
- Patient statements will be mailed to the address on file. It is the patient's responsibility to keep their demographics updated.
- There will be a 5% late fee assessed for every 30 days of an unpaid patient balance.
- Patients will be given three notifications of an existing balance before their patient account is turned over to collections.
- Patients with a delinquent patient account and/or in collections will not be seen by the provider until the past due on the account is paid.