REFERRALS

If your doctor has referred you for services, please contact us to schedule your appointment.
 

If you are not being referred by your physician, please contact us to discuss candidacy for treatment. We would also be happy to contact your physician to request a referral on your behalf.

Intake Forms

MEDICAL RELEASE

TELEPRACTICE CONSENT

FEES CONSENT

Insurance Accepted


We are an in-network provider for the following insurance companies:

Policies

PAYMENT TERMS

All co-pays, deductibles, and/or other payments are due at the time of service.
 
If you have insurance other than listed above, NeurogeniCSS will work with you and your insurance company to confirm benefits and verify coverage for out-of-network services. Contact us with your insurance information prior to making an appointment.

 

CANCELLATION POLICY

Please understand that appointment times are limited. If you must cancel your appointment, we respectfully request 24 hours notice. Missed appointments or appointments canceled without 24 hours notice will incur a $40 cancellation fee.
 
If the missed appointment is rescheduled within the same week of the original appointment, this fee may be waived. Please note that late fees cannot be charged to your insurance company. Exceptions are made in the event of a true, unavoidable medical emergency.
 
If you are late to an appointment, your appointment time will end at the originally scheduled time.