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Policies

Payment is due at the time of appointment. Co-Payment and Insurance Deductable Payments are due at the time of service. While we accept the majority of insurance policies for most of our services it is the responsibility of each patient to verify coverage of our services and laboratory use during the current transition into the new model of medicine that is proving to be cost effective with efficacious therapies as nutrition and environmental medicine. As the field of integrative medicine is showing scientific evidence to become established as the new standard of care in the current practice of medicine, we believe that patients should be entitled to the highest standards of care, regardless of cost-influenced decisions made by insurance companies . Any Non-covered office visits or lab fees are the responsibility of the patient and must be paid in timely fashion. We accept Cash, Check, American Express, Master Card, Visa, and Discover credit cards. We must charge $25 fee for returned checks. Any unpaid balance after 120 days from the date of service are the responsibility of the patient/guarantor.

 

It is your responsibility to notify MindBodySpirit Care of any changes to your insurance coverage and personal information.

 

Appointment cancellations must be made more than one business day in advance of all routine, scheduled appointments to avoid penalty. Any routine appointments that are not canceled within one business day or missed without any notice are subject to a $25 cancellation fee.

 

If you are more than 15 minutes late for your appointment with the physician or the practitioners, you may be asked to reschedule. In this event, the $25 cancellation fee may be applied. We can do follow up visits over the phone. Follow-up blood work can be drawn close to where you live. We do not accept insurance payment for telephone or email consultations. You may charge telephone consults to your credit card.

 

After hours access: If you have an emergency, please call 911. If you have an urgent medical matter, please call our main office number and follow the recorded directions. Be sure to leave your name, phone number and reason for your call. As this line is used for urgent matters, please do not leave messages for routine prescription refills, appointments, referrals or other non-urgent situations. We ask that you call during normal business hours to handle such non-urgent matters.

 

All diagnostic test results require doctor review/interpretation before copies will be provided to you. You must attend an office visit to receive interpretation and treatment guidance.

 

Any prescribed medical foods, nutrient therapy or Bio-identical hormonal therapy must only be taken under the supervision of Dr Shemesh and his designated assistants, and as such, must be dispensed from an approved compounding pharmacy or directly from MindBodySpirit Care. Please note that the costs of nutrient supplements or special foods purchased at our office may be applied as health expense tax deductions (consult your professional accountant for the latest tax provisions).

 

Healthcare is not an exact science and, therefore, acknowledge that no guarantees are made to me as to the results of the examinations, tests, diagnoses or treatment by MindBodySpirit Care or any representative thereof.

 

Any prescription medications prescribed by another physician should not be discontinued without the consent of the prescribing clinician.

 

In the event that Dr. Shemesh is not acting as your primary care physician, it is recommended that you share your care plan and treatments with your primary care physician for safety purposes.

I fully understand and accept the above listed policies, and I do hereby voluntarily consent to evaluation and care with MindBodySpirit Care, including physical exam and any mutually agreed upon diagnostic testing and treatment recommendations.

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Patient/Guardian Signature

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Date

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Printed Name

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Patient Date of Birth


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Dr. Ron Shemesh lectures on Integrative Medicine at USF School of Medicine.


Learn about our new Physician grade Nutrients.


Enjoy vibrant balanced health with hormone therapy for men and women




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