Our office schedules visits by appointment only. Walk-ins are not permitted.
We will make every effort possible to see emergent and urgent conditions in a timely manner. Every effort is made to see our scheduled patients on time.
MONDAY : Open 8:30AM – 5:00PM.
TUESDAY : Open 8:30AM – 5:00PM.
WEDNESDAY : Open 8:30AM – 5:00PM.
THURSDAY : Open 8:30AM – 5:00PM.
FRIDAY : Open 8:30AM – 5:00PM.
The following three forms are for all patients coming into our office for an appointment. These forms can be downloaded to your computer and printed at home. By filling out these forms ahead of time, you will save a significant amount of time during your visit. Please be prepared to provide this information to our office along with your current medical insurance information. If you have any questions when filling out these forms, please do the best you can and our staff will assist you with your questions on the day of your visit.
- Patient Registration Form
- Patient Health History Form
- HIPAA Notice of Privacy Practices and Acknowledgment Form
In addition to the forms noted above, the following packet should be completed for patients of Dr. Iezza only:
Co-payments are collected at check-in at the time service is rendered. For your convenience, we accept cash, checks, and credit cards (Visa, MasterCard, Amex and Discover). If you come unprepared and unable to pay your insurance co-payment, your appointment will be rescheduled.
In certain emergent situations, payment plans may be established for patients with significant financial distress. If you are on a signed payment plan and a problem arises that affects your ability to continue making timely payments, you must contact our Business Office immediately. Communication is critical. In the event that your account is placed with a collection agency, no further appointments will be made until prior debt is resolved.
A fee of $35.00 will be charged to your account for returned checks. From that point on, we will only accept cash, money orders, or credit cards for any payments currently due on your account for future medical services rendered.
Our office uses arbitration agreements.
All patients are required to sign the agreement before being seen.