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  • MIDTOWN 51 EAST 25TH, STE 453 New York, NY 10010
  • UPPER EAST SIDE 983 PARK AVE, STE 1D22 New York, NY 10028
  • UNION SQUARE 55 W. 17TH ST STE 105 New York, NY 10011

Patient Acknowledgement of Financial Responsibility & Cancellation Policies, Cancellation/No Show Policies

When you book your appointment, you are holding a space on the calendar that is no longer available to our other patients who need an appointment. Out of respect to our physicians and patients, we have the following cancellation policy:

  1. If cancellation is necessary, we require that you contact our office at least 24 hours in advance for office visits and 48 hours in advance for surgical appointments and diagnostic testing
  2. Office Appointments will be charged a fee of $75. Surgical/Procedure Appointments/Diagnostic Testing (Ultrasounds) will be charged a fee of $175
  3. A “no show” or missed appointment without notification will be assessed fees as below
  4. Below fees are not billable to your insurance company and will be patient’s responsibility
  5. If you are 15 or more minutes late for your appointment, the appointment may be canceled & rescheduled
  6. Repeated missed appointment may result in the termination of the physician/patient relationship

Financial Responsibility Policies

  1. Co-Pays and Deductibles: You must pay your Copay and Deductible at the time of service as required by your insurance company.
  2. Discounts: Cash discounts will be given for patients without insurance if you pay in full for services on the day of the visit: 10% (ten percent) if paid by cash.
  3. No Insurance/Self Pay: If you do not have health insurance or proof of coverage, we require a $75 deposit before your first visit. These deposits will be applied to your medical bill.
  4. Payments on Account Balances (Copays/Deductibles): You are responsible for the timely payment of your account at the time of your visit.
  5. I agree to allow Manhattan Specialty Care to charge my credit card on file or any amount not covered by insurance for all services related to my appointment visits including no show or cancellation fees that may apply
  6. My credit card will be stored by Global Payments/Healow Pay which are secure credit card processors affiliated with Manhattan Specialty Care to collect payments. Bills and Receipts can be furnished upon request

 

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Call now to make an appointment with our award winning, board certified NYC Primary Care doctors regarding your health. We look forward to seeing you!

book online now (212) 378-9987
Manhattan Primary Care Locations: Manhattan Primary Care (Upper East Side) 983 Park Ave, Ste 1D22, NY 10028
(212) 389-9929
Manhattan Primary Care (Midtown) 51 East 25th Street Ste 453, NY 10010
(212) 389-1887
Manhattan Primary Care (Union Square) 55 W 17th St Ste 105, NY 10011
(212) 378-9987
DISCLAIMER: PLEASE READ CAREFULLY The information on this website is to provide general guidance. In no way does any of the information provided reflect definitive medical advice and self diagnoses should not be made based on information obtained online. It is important to consult a best-in-class primary care physician in Midtown or Upper East Side regarding ANY and ALL symptoms or signs as it may a sign of a serious illness or condition. A thorough consultation and examination should ALWAYS be performed for an accurate diagnosis and treatment plan. Be sure to call a physician today and schedule a consultation with a top internal medicine doctor.