What is your financial policy? All payments must be made at or before the time of service delivery. We provide appropriate documentation which will allow our patient to file for reimbursement from his or her insurance company should their policy allow for this and cover the services provided. 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. 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 |