Forms for Your Visit

Our Fees are based upon what is the usual and customary charge for this area, the complexity of the problem, the materials required, and time spent on the service. We strive to charge fairly, but if you have a question about any fee please ask. Payment is expected at time of service. 

Insurance is a method of reimbursement, not a substitute for payment. For those with insurance that we accept, we will be happy to bill your insurance company. You will be requested to pay for any services or products not covered by insurance, any copay, and any deductible not met at the time of service. Once we have received a response from your insurance, any remaining balances will be due and payable by you.

At DOSM, we understand medical bills can be a significant source of stress, particularly when recovering from injury or illness. Our management team is more than willing to discuss your financial obligations in a kind and compassionate manner to make the situation more manageable. 

Self-pay patients: payment is expected at the time of service. If you have difficulty with payment in full, arrangements can be made for a payment plan. Deposits will be required prior to scheduling elective surgery.

Workers Compensation: We require written or verbal verification from your employer or the WC carrier. If we do not have this at the time of appointment, we will treat the service as self-pay; or we will reschedule your appointment to allow you opportunity to obtain verification.