We strive to provide excellent care in a relaxed atmosphere.
We accept all major credit and debit cards for online payments.
To make a payment online, click the link below:
We accept all major credit cards, checks, and cash payments. We also participate with CareCredit to offer 0% interest financing for larger balances.
Payments can be made on our website, by calling our office, by texting our office for a text-to-pay link, or by mail.
Online forms open in a separate window and do not require you to create an account or download any software to complete them. Be sure to click “submit” when done to send the completed form back to our office. You can also request a form link to be texted or emailed to you directly by calling or texting our office at (269)488-4500.
Paper forms are available for those who do not wish to complete forms online. If you prefer paper forms, please arrive at least 15 minutes early to your scheduled appointment to complete forms in the office.
We accept all major credit cards, checks, and cash payments. We also participate with CareCredit to offer 0% interest financing for larger balances.
Payments can be made on our website, by calling our office, by texting our office for a text-to-pay link, or by mail.
Online forms open in a separate window and do not require you to create an account or download any software to complete them. Be sure to click “submit” when done to send the completed form back to our office. You can also request a form link to be texted or emailed to you directly by calling or texting our office at (269)488-4500.
Paper forms are available for those who do not wish to complete forms online. If you prefer paper forms, please arrive at least 15 minutes early to your scheduled appointment to complete forms in the office.
We must receive confirmation from the patient or their representative by 2pm the business day before all scheduled appointments.
Unconfirmed appointments may be canceled and rescheduled by our office.
If we choose to cancel an unconfirmed appointment, we will attempt to notify the patient or patient representative via the contact information we have available.
There will be a fee of $25.00 assessed for all no-show appointments.
Appointments canceled less than 24 hours in advance may be subject to a $25.00 fee, at the discretion of the front office staff.
Multiple no-shows or last-minute cancelations may result in dismissal form our practice.
ayment for services is due at the time of service unless prior arrangements have been made.
Unconfirmed appointments may be canceled and rescheduled by our office.
If we choose to cancel an unconfirmed appointment, we will attempt to notify the patient or patient representative via the contact information we have available.
We are required by law to maintain the privacy of protected health information, to provide individuals with notice of our legal duties and privacy practices with respect to protected health information, and to notify affected individuals following a breach of unsecured protected health information.
You can view our full Notice of Privacy Practices by clicking the link below. You may download or print this form, or a paper copy can be requested at by contacting our office.
View/Download/Print Notice of Privacy Practices PDF
To authorize the use or disclosure of your protected health information, and to specify what information may be shared, please fill out the following Authorization Form.
Authorization Form for Use or Disclosure of Patient Information
If you want more information about our privacy practices or have questions or concerns, please contact us.
Monday to Thursday
8:00 am to 5:00 pm
