Doctor (MD) - 24 hour Notice:
15 minute appointment: $50 charge
30 minute appointment: $100 charge
45 minute appointment: $150 charge
Therapist 48 hour Notice: 
1 missed appointment: $50 charge
2nd missed appointment: $100 charge
3+ missed appointments: Full Fees
Confirmation Policy:
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  • Appointments for the doctors must be confirmed by 6:00 pm the evening before the appointment. Any appointments not confirmed will be offered to patients on our waiting list.  Please note our office has a voice mail system available 24 hours a day, 7 days per week for our clients to leave confirmation or cancellation notice.  Call 586-773-6020 ext 0 and leave a message.

    **Effective 1/18/19
  • The office requires at least 24-hour notice of appointment cancellation with our M.D.'s and at least 48 hour with our therapists. Failure to provide the appropriate notice of appointment cancelation and/ or
    no-show for an appointment will result in the following charges:
General Office Policies
 

  • It is the patient’s responsibility to obtain information about their insurance coverage from your employer or insurance carrier and the BPC Business Office is available to assist you.
     

  • The patient is responsible for paying all deductible, copayments, co-insurances or any other balances at the time of their appointment.  If payment is not made by end of business day, a $10 service fee is applied.
     

  • The patient is responsible for paying all charges that are not covered by their insurance benefits.
     

  • As a courtesy, reminder emails, texts and/or calls are generated by our automated system. However, it is the patient’s responsibility to confirm their appointments with the office.

Upon case approval, save time and complete all necessary forms online by clicking the name of any form below.  If you prefer to download and complete on paper, please click on the PDF icon next to the name of the form. 
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New Patient Forms
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Annual Update Form
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Release of Information Form
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Financial Policy
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Patient-Provider Partnership Agreement
  Additional Fees: 

 

  • There is an additional $25 dollar fee for completion of any letters requested that are not coordination with your primary care physician. A release of information form must also be filled out in order to process your request.
     

  • There is an additional $25 dollar per page fee for any forms to be filled out and it is up to the doctor's discretion whether or not the forms will be completed. A release of information form must also be filled out in order to process your request.​

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*Please refer to our Financial Policy document above for all fees that may apply.