Payment Policy

/ Payment Policy

Payment Policy

Payment Policy & Consent for Use of Credit/Debit Cards & Financing Disclosure of Protected Health Information
 
Thank you for choosing 1aesthetic (Edgewater Cosmetic Centers, LLC) as your cosmetic specialists. We are committed to your treatment being successful. Please understand this financial policy is enforced to keep our costs at a reasonable level, thus preventing frequent fee increases. This also allows us to concentrate on what we do best which is providing the very best care and results possible for you!
 
Payment Policy: ** PLEASE NOTE WE ACCEPT CREDIT CARD AND CASH PAYMENTS ONLY!  NO PERSONAL CHECKS **
 
Full payment is due at the time of service. Valid photo identification is required. Please note there is a credit/debit card convenience charge of 3%. This convenience charge will NOT apply to cash-paying patients.
 
Billing Charges: If a balance should be left unpaid, a billing charge of 25% APR or a minimum of $300, whichever is greater, will be applied to any account that is three (3) days past due. Accounts that remain in an unpaid status after two (2) days will be turned over to our collections and legal department. These collection efforts will incur additional fees that will total 100% of the account balance or more. Credit card disputes are NOT allowed and will not be tolerated.
 
Missed/Broken Appointments: You must call us to cancel or reschedule your appointment at least 24 hours in advance. There will be a $50 charge for missed/broken appointments without notice. To better serve you and other patients in an effective manner, we ask that you please keep your scheduled appointments and arrive on time.
 
 It may become necessary to release your protected health information to other physicians/health care facilities, financial parties, credit card entities, banks, and financing companies, when requested, to facilitate your payment or health-related condition. Services that are performed that are paid with a credit card, debit card, financing third-party, and/or cash are not eligible for payment challenges after services are provided. By signing this form, you are irrevocably consenting to allow this practice to use and disclose your protected health information to process an account and assist with payment. You also consent to not challenge such credit, debit, or financing card payments once services are provided and agree that this challenge agreement is irrevocable. This practice encourages complete follow-up appointments to address any issues or concerns that may arise.
 

Gift Card Policy: There is a one-year expiration date on gift cards. There are no refunds for purchased gift cards. Gift cards are non-transferable.

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