Office Policies

Below you will find our policies on billing and payment, treatment authorization and privacy. If you have questions, we will be happy to assist you! Just give us a call at  !

• Welcome Packet: We are very excited that you are becoming a member of the ACENT family. Please review the Welcome Packet for an overview of our office and policies.
• Privacy: Medical information shared with us is confidential. It is shared with other health care providers, hospitals, and/or insurance companies only with your written authorization. Please see the Release of information document for additional information.
• Consent for Medical Treatment: If you are unable to attend your minor child’s appointment, this form allows he/she to be evaluated.
• Service Animal Policy: We recognize the importance of Service Animals to individuals with disabilities and have established the following policy regarding Service Animals (and Service Animals in training) in order to assist individuals with disabilities. Please see this document for additional information.
• Cancellation Policy: Out of respect both for our valued physicians and for the patients who are waiting to be seen, we have the following Surgery Cancellation Policy.
  • We require 10 business-days’ notice to cancel your surgery.
    • Cancellations with fewer than 10 business-days’ noticed will incur a $100 fee
    • Cancellations with fewer than 24 hours’ notice will incur an additional $100.00 fee
  • Cancellations fees must be paid prior to rescheduling your surgery, and prior to any subsequent appointments.
  • Cancellations fees are billed to you directly and are not covered by your insurance.
  • Fees may be waived in case of emergency, however, ACENT reserves the right to request documentation to substantiate the emergency.