Birches Health Financial Disclosure
The client may be responsible for any no-show fees or late cancellations and appointment reschedules (outside of 48 hours prior to the appointment) associated with missing appointments without prior warning from Birches Health.

Payment of all fees is expected at the time of service or via credit card on file. Birches Health will assist clients in submitting claims to the client's insurance carrier.

It is the client’s responsibility to check their insurance benefits and coverage. Clients will be responsible for any non-covered services, deductibles, co-payments or co-insurances, as determined by their insurance carrier. Accounts unpaid by the insurance carrier greater than 90 days will be billed to the client.

Clients authorize payment of medical benefits directly to Birches Health for all services rendered where applicable.

Out-of-pocket payments can be made via credit/debit card and are due on the date of the client's appointment.

The client authorizes Birches Health to release to government agencies, insurance carriers and all others who are financially liable for care, all information to substantiate payments for my care and to permit representatives thereof to examine and make copies of all records related to such care and treatment. If at any point a client's insurance coverage changes, the client is to notify administrative staff prior to their next session. Failure to do so will result in being personally and completely responsible for the full amount of all services.

If a client defaults on their account, they are to be subject to finance and/or legal fees in addition to the total account balance.
Birches Health reserves the right to cancel or terminate a session if a patient is not cooperative or disruptive. The patient will be charged a no- show/late cancellation fee in that event.

Birches Health no-show, late cancellation, and late reschedule fees are $125.00 per appointment.

By signing the client financial agreement, clients agree to the above financial and cancellation policies. In the case of default payment, the client is responsible for full payment of the balance, interest accrued, and any collection costs and legal fees incurred to collect on this account. The client is responsible for understanding the scope and limitations of their insurance coverage and agrees to pay all fees not covered by their insurance plan.