& Pain Center
 
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Patient Guidelines

Primary Care Referrals:

Please obtain all of the necessary referral forms (if required by your insurance) from your primary care physician in advance of your visit. Unfortunately, patients cannot be seen without the appropriate referral.

Co-Payments:

Patients with a standard Co-payment are required to pay this at the time of service. Patients whose co-insurance is based upon a percentage of the allowed charges will be required to pay their co-insurance/deductibles within 30 days after receiving a statement from this office. We accept cash, checks, credit and debit cards.

Tardiness:

Please call if you are running late. Patients arriving late may be asked to reschedule. Obviously, we try to deliver the same respect for your time. If we are running late, the session will be completed in its entirety.

Cancellations:

We request that patients who are unable to keep an appointment contact our office at least 24-business hours prior to the scheduled appointment time since there are usually other clients that could benefit from this time slot. There will be a $25.00 charge for no show or cancelled appointments with less than a 24 business hour notice.

Repeated Missed Appointments:

We will be unable to schedule future appointments for patients having three (3) missed appointments and/or cancellations without appropriate notice, particularly if we feel that these missed appointments are adversely affecting our intervention/treatment plan.

Medication Refills:

To ensure that your medication needs are net in a timely manner, we request you call our office (3) business days (for pick up) prior to the date your medication is scheduled to run out. It will take 5 business days (if mailed) for you to receive your prescription, please plan ahead.

Returned Checks:

Returned checks will be processed with a service charge of $35.00. Outstanding patient’s balances over 30 days will accrue a monthly 1.5% interest charge. Balances referred to collection service are subject to additional fees. In addition, patients whose accounts have been referred to collection agencies must pay any outstanding balance and pay for each visit in full at the time of the appointment before additional services/care will be provided.

 

 
 



 

Daniel S. Rosenberg MD
Physical Medicine and Pain Center
34 Scotch Road, Ewing, NJ 08628
Phone: 609.883.0614
Fax: 609.883.7879

 

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