Cancellation Policy

Your appointment time is important to everyone.

If you cannot keep your appointment for any reason, please call or email us at least 24 hours* prior to your appointment time.  If you miss your appointment or cancel with less than 24 hours notice, a fee of $50 may be charged to you.  You are responsible for the payment of this fee- it will not be billed to, nor paid by your insurance company.

If you are being seen for a VCD (Vocal Cord Dysfunction) appointment, we ask for 48 hours cancellation notice, so that we can call someone on our wait list to get them in sooner.  We block out a large amount of time for these types of appointments/testing.  The fee for missed VCD appointments or late cancels is $100.

If a patient misses or late cancels an appointment twice within a 12 month period, their chart will be reviewed for possible discharge from the practice.

Treatment of a Minor

New Patients: Due to the in-depth history and exam for New Patients, a parent or legal guardian MUST accompany any patient under the age of 18.  No exceptions. The parent is responsible to ensure patient co-pays due at the time of service, referral needs or other insurance requirements that are covered for the minor child at all scheduled appointments.
Established patients: NAAC must have a signed consent form on file or a note signed by a parent or legal guardian if a parent or guardian does not accompany a minor to their appointment.

Please ask at the Front Desk, if you would like to sign a consent form to keep on file. 

Health Insurance Portability and Accountability Act (HIPAA)

NAAC will use and disclose health information about the patient in compliance with the HIPAA Act. Patients are entitled to receive a copy of the Notice of Privacy Practices as outlined by Federal Regulations. Patients have the right to ask that some or all of their health information not be used or disclosed in the manner described in the Notice of Privacy Practices, however NAAC is not required by law to agree to such requests.