Welcome to our practice! In our office, every effort is made to meet your needs in a timely and caring manner. Each individual’s condition is unique and deserves personalized attention. If you are a new patient, completing New Patient Forms prior to your office visit may help streamline your first visit with us. You may download the following forms and bring them with you to your appointment:

Patient Registration Form

Patient Medical History Form

Patient Contact Form

Patient Privacy Practices

FINANCIAL POLICY

Interventional and Vascular Consultants, PC (IVC) values the confidence you have shown in choosing us as your health care provider. You should be aware of what services your insurance may or may not cover. As a courtesy, IVC will bill your insurance carrier on your behalf. However, you are ultimately responsible for payment of your bill, including deductibles, co-payment/co-insurance and non-covered services as determined by your contract with your insurance carrier. Co-pays are due at the time of service. If you are unable to furnish us with current insurance information at the time of service, charges will become your responsibility. IVC may require a deposit for certain services.

You will receive a monthly statement showing the activity and balances due on your account. IVC accepts cash, checks, MasterCard, Visa and Discover. Unless payment arrangements have been made in advance, any remaining balance owed by you is due in full when you receive your first bill. A $25 bank fee will be charged for NSF checks. IVC offers a payment plan option for qualified patients who are unable to pay their balance in full. Please call Mentor Billing Service at 877-591-7250 to make payment arrangements. Patient balances left unpaid may be turned to an outside collections agency. Separate billings may be received for laboratory, anesthesiology, radiology, hospital services and “on-call” or other providers who are involved in your care which are subject to their financial policies.

SELF PAY PATIENTS

Patients without insurance are required to pay a minimum deposit of $100 for office visits at the time of service, and $250 for hospital procedures at the pre-op appointment, unless other arrangements have been made. To make payment arrangements please call Mentor Billing Service at 877-591-7250. Self-pay patients are offered a 20% discount on all services paid in full upon receipt of the first bill.

NO-SHOW & CANCELLATION POLICY

As a courtesy to our physicians, we request 24 hours notice for any office appointment you will not be able to keep. Patients scheduled for surgical procedures in the office or hospital are required to give 48 hours notice for any non-emergent cancellation or reschedule. Failure to provide timely notice, or neglecting to show up for your scheduled appointment(s), may result in a cancellation fee up to $50 and/or termination from the practice.