Pease Integrative Medicine Office is committed to meeting our patient’s healthcare needs and keeping their insurance and other financial arrangements simple, secure, and efficient. In order to accomplish this in a cost effective manner we have set forth the following terms outlining how patient financial accounts are established and maintained.

1. Pease Integrative Medicine Office utilizes an Electronic Medical Record (EMR)  to store all patient health and financial information related to services provided at the practice.

2. ​Minor Patients: Parents or guardian of the minor are responsible for the payments related to the services provided to the minor. In the event the parents are divorced, the parent accompanying the minor is financially responsible, regardless of the divorce decree. Payment for service is due at the time service is rendered. Settlements must be resolved between the parents and not our office. For unaccompanied minors with non-emergency treatment, treatment may be denied.​

3. Family account members will consist of all members of a household residence and/or those having coverage under the same insurance policy.

4. Patients must designate a single individual as Guarantor who will agree in writing to be responsible for payment of all services relating to the patient within the Family Account by signing the Guarantor Agreement. By default, parents (guardians) of minors will be noted as the Guarantor AND adult patients will be their own guarantor. If you wish to specify someone other than, parent/guardian OR self, you must update your information in Elation's Demographics.

5. Guarantors must provide a secure method of payment to be kept on file and sign the Consent/HIPAA Form. 

6. Pease Integrative Medicine Office will employ Elation to maintain the security of the payment method for each account according to the rules and standards set forth by applicable federal and state laws.

7. Pease Integrative Medicine Office reserves the right to deny service if a secure payment method is not current and or if a guarantor is not established.

8. Pease Integrative Medicine Office considers the following to be acceptable secure methods of payment: Credit/Debit/HSA/FSA card, Check, and Cash.

9. A patient may be removed from a family account and assigned to a new or different family account only if the patient has separated from the family residence and/or is no longer covered under the same health insurance policy.