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Financial Policies     updated 10/1/2019

We request that all bills which are the patient's responsibility be paid within 30 days. Office visit charges are to be paid on the date of service. If you have a high-deductible plan, 50% of your estimated visit or procedure cost is to be paid on date of service. If for some reason you cannot pay your bill on time, please advise our office, and we'll do our best to work out a payment plan with you.   

Unless other arrangements are made, accounts over 120 days old incur interest at an annual rate of 24%.  We turn unpaid accounts over to a collection agency and/or attorney after 90 days. All accounts turned over to a collection agency and/or attorney will be subject to a 25% collection surcharge.  There is a $35.00 service charge for returned checks. For your convenience we accept Cash, Check, VISA, MasterCard, American Express, and Discover.

Missed Appointment Policy

We understand that there are times when you must miss an appointment due to emergencies or obligations for work or family. 


If it is necessary to cancel your scheduled appointment, we require that you call one business day (Monday-Friday) in advance or you may be considered a “no-show”.   No-shows inconvenience those individuals who need access to medical care in a timely manner and may prevent another patient from getting much needed treatment. Conversely, the situation may arise where another patient fails to cancel and we are unable to schedule you for a visit, due to a seemingly "full" appointment schedule.  

To cancel or reschedule an appointment, please call our office at (716) 648-2770, if our office is closed, please leave a message.  All messages are date/time stamped.

Patients who no-show and fail to notify our office within at least one business day in advance, or show up more than 15 minutes past your scheduled appointment time, will be charged the following Fees:.


  • $150 Fee for missed Surgical appointments

  • $50 Fee for missed Initial Visit, Follow Up, or Procedure appointments

  • $25 Fee for all other missed appointments not mentioned above


These fees are not reimbursable by insurance and are to be paid by the patient prior to scheduling their next appointment.

Fees and Payments

We make every effort to keep the cost of medical care down. You can help by paying upon the completion of your visit. Billing is extremely costly, and we strive to minimize costs whenever possible. Cosmetic Procedures must be paid in full on the day of service prior to treatment. This includes: elective Fractional Laser Resurfacing, Intense Pulsed Light (IPL) treatments, Pulsed Dye Laser Surgery, Botox® Cosmetic, MegaPeel® MicroDermabrasion, Glycolic Acid Peels, Fat Transfers, Collagen & Sclerotherapy Injections, and any other minor elective medically unnecessary procedures (ex. removal of moles or skin tags that are not symptomatic). Payment will be required 14 days in advance for major cosmetic procedures such as Liposculpturing, Chemical Peels and Eyelid Rejuvenation (Blepharoplasty).

Co-Payments & Co-Insurance

If your insurance carrier requires a co-payment, it must be paid on the DATE of SERVICE. Co-payments are a contractual agreement between you and your insurance carrier. As a specialist, we are required to collect co-payments at EACH VISIT. Co-payments are generally small amounts that are too costly to bill, therefore a $5 Billing Surcharge will be added to your bill each time a co-payment is not paid on the date of service.


Biopsies, excisions, shave removals, etc. are sent to an independent dermatopathology laboratory for slide preparation and interpretation. There will be an additional pathology fee billed to you by the outside lab for all specimen's removed. The labs we utilize participate with most local insurance carriers, however, you may need to submit their charges to your insurance carrier, if they do not participate with your particular carrier. Depending on your coverage you may be responsible for a portion or all of these charges.

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