Please review our office policies, prior to making your appointment.

Requesting an Appointment

Our friendly staff will help you to schedule your appointment, or answer any questions you may have.
Please arrive on time for your visit as a courtesy to our staff and other patients. If you need to cancel, we require notification by 7:00 PM on the day prior to your visit.

Financial Responsibility

Payments are due at the time of service. Co-pays and Balances are to be paid at time of visit, without exception.

Our office accepts checks, cash, and the following credit cards:

It is important to be aware of your insurance plan policies regarding: co-payments, deductibles, co-insurances, in- and out of network status and responsibilities, and referral requirements.


If your health plan requires you to select a primary care physician (PCP), you must contact your insurer, prior to being seen in our office, and inform the plan that you are selecting a specific Vanguard provider as your PCP. Your plan is likely to withhold payment if this is not done by the day of your visit.

Non-Covered Benefits

Health insurance does not cover all services. This applies to Medicare as well as to supplemental insurance. Services that may not be covered include: medications, cosmetic procedures, immunizations, splints, and certain screening and preventive procedures. Make sure that you read your benefits handbook or coverage statement thoroughly to understand what services are and are not covered. If we provide a medical service to you that is not covered, we will expect payment from you. We will try our best to inform you of this in advance, but we cannot be responsible for knowing what is and is not covered by your health plan and cannot create a diagnosis for the purpose of insurance coverage. Coverage within health plans may also vary depending on what services your employer chooses to cover.

Coordination of Benefits

Many people are covered by more than one health plan. As a courtesy, we do our best to submit to the primary and secondary carriers; though ultimately, this is your responsibility. Medicare submits automatically to supplemental insurance, with a few exceptions.  Medicare patients must be sure to set up the automatic crossover, if it is not already done.