1. It is our office policy that all services rendered in this office are charged directly to you, the patient, and that you are personally responsible for all payments, regardless of whether or not this office accepts insurance assignment. Upon request we will submit all primary insurance.

2. All payments are expected at the time of service. If patient's account is secured with credit card, account balance will be charged at the end of the week. Patient's balances may not exceed $100 at any time.

3. Returned checks and balances over 30 days may be subject to additional collection fees and interest charges of 1 and 1/2% per month. We reserve the right to charge for missed appointments.

4. All accounts not paid within 90 days will automatically be put through on your personal credit card.

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or email us at: inquiries@kerkhoffchiropractic.com

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