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Forms for Your Upcoming Visit
If you do not have insurance coverage, you are obligated to pay for services at the time they are rendered. If you are unable to pay in full, you must contact our billing department to set up payment arrangements.
You may contact our billing office at 541-779-5007 (Option #5). We accept Cash, Check, Visa, MasterCard, American Express and Discover.
Southern Oregon Spine Care participates with most Managed Care Plans (typically an HMO), POS (Point of Service), and PPO plans. We will file your claim to your insurance company requesting payment for services rendered, and you are responsible for your co-pay at the time of service. All balances not paid by your insurance company will be your responsibility.
You will be responsible for providing us updated insurance information at the time of your visit. If you do not provide us with a current/active insurance card, payment will be due in full at the time services are rendered. Upon submission of a valid insurance card, we will submit your charges to your insurance company; however, claims denied due to untimely filing as a result of invalid insurance will be your responsibility.
If you have insurance coverage with a non-participating insurer, we will file a claim to your insurance company as a courtesy, but you are responsible for payment at the time the services are rendered.
A 24-hour notice is required for any cancellations or reschedules. If you no-show for your appointment 2 times, you may not be able to reschedule. If you’re more than 10 minutes late to your appointment it will be cancelled.
At Southern Oregon Spine Care (SOSC), we care about your privacy and are committed to protecting and preserving it. We understand that your health information is personal and that you may be concerned over how it is used. This Notice of Privacy Practices describes the ways in which SOSC may use and disclose health information about you. It also describes your rights and our obligations with respect to personal health information. We promise to comply with the privacy practices described in this notice and to do our best to treat personal health information about you with the utmost care.
This notice applies to all use and disclosure of health information about you that is made by health care professionals, staff, employees, students, trainees, and associates of SOSC. We are required by law and committed to maintain the privacy of protected health information and to provide individuals with this notice of our legal duties and privacy practices with respect to protected health information. Please review this notice carefully and feel free to contact us about how we use protected health information about you.