Patient Services


Patient Bill of Rights

  • You have a right to be treated with respect, consideration and dignity.
  • You have the right to privacy.
  • You have the right to confidentiality (your records and disclosures are treated confidentially and except when required by law, you will be given the opportunity to approve or refuse their release).
  • You have the right to information concerning your diagnosis, evaluation, treatment and prognosis. When it is medically inadvisable to give such information to you, the information will be provided to a person designated by you or to a legally authorized person.
  • You have the right to participate in decisions involving your health care. The exception to this is when such participation is contraindicated for medical reasons.
  • You have the right to be given informed consent prior to the start of any procedure or treatment.
  • You have the right to refuse treatment to the extent of the law and be informed of the consequences of your refusal.
  • You have the right to formulate advance directives which indicate your treatment preference or name someone else to make decisions for you if you cannot make them yourself.
  • You have the right to be informed of available services at Center for Advanced Orthopedic Surgery & Pain Management.
  • You have a right to be informed of fees for service. You have the right to be informed regarding the payment policies of Center for Advanced Orthopedic Surgery & Pain Management.
  • You have the right to express concerns and make suggestions to the organization.
  • You have the right to change specialty physicians if other qualified physicians are available.


Patient Responsibilities

  • You are responsible for cooperating with the Center for Advanced Orthopedic Surgery & Pain Management staff taking care of you.
  • You are responsible for being considerate of other patients.
  • You are responsible to maintain the treatment recommended by your doctor and notify him of any changes.
  • You are responsible for prompt payment of your bill.
  • Your are responsible for providing the information necessary for insurance processing, and responding promptly to any questions concerning your bill and account.


Financial Responsibility & Practice Charges

Patient is responsible for all fees and charges for services rendered. If insurance information is not provided and confirmed by Center for Advanced Orthopedics & Pain Management at the time of the visit, patient understands and acknowledges he/she is required to pay in full for the services rendered at the time of the visit.
No show fee without 24 hour notice $35.00
No show fee for outpatient procedures & new patient evaluations $110.00
Administrative fee for documentation $15.00 per 15minutes. Payment is due at time of service
Co-payment Determined by insurance plan, Payment is due at time of service
Coinsurance Determined by insurance plan, Payment is due upon receipt of Billing Statement
Self Pay Patients Payment due at time of service, payment plans can be arranged in advance through the Billing Office, a minimum of 25% is due at time of service
Medical Supplies Prices will be provided based on each case and if needed


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