What is your financial policy? All payments must be made at or before the time of service delivery. We provide appropriate documentation which allows our patients who choose to file for reimbursement the documentation they need to do so. Missed appointments, both no-show and late cancelled, must be paid immediately. We accept checks, cash and credit cards. For those patients who are receiving assistance from family members or other third parties, we have an authorization to charge a credit card form that may be signed by the card holder, and the agreement also applies to payment of missed or late cancelled sessions. Payment is still due at or before the time of service. No credit card will be accepted if the presenter is not the card holder unless we have the signed credit card form on file. |

| Stonebriar Psychiatric Services, P.A. 972-335-2430 |