Thank you for selecting Weight Loss & Vitality clinic for your weight loss and vitality needs. We are honored to be of service to you and your family. This is to inform you of our billing requirements and our financial policy. Please be advised that payment will be due at the time services are rendered, unless prior arrangements have been made. For your convenience, we accept Cash, Visa, Master Card, American Express and Discover.
Initial Evaluations, Botox, Dermal Fillers and Part Two Evaluation Cancellation Policy Terms:
Obtaining your credit card information for initial evaluation appointment guarantees you 1-on-1 time with our medical providers. In order to be respectful of the medical needs of other patients, please be courteous and call the office promptly if you are unable to make your appointment. This time will be reallocated to someone who is in need of treatment.
A No-Show fee of $100.00 will only be charged in the event:
- You do not show up for your appointment (NO SHOW)
- You call less than 48 hours before your appointment
During after hours, feel free to leave us a voice message or send us an email in regard to cancellation of your appointment and/or if you need to reschedule.
It is the responsibility of the patient to schedule appointments, show up for schedule appointments, and call to reschedule appointment 48 hrs prior to appointment if unable to make the appointment.
Cancellation of Monthly Services and/or Medical Treatment & NO REFUND POLICY:
Patients are responsible for paying their treatment plan in FULL on a monthly-recurring payment plan via their credit card starting on the day they receive weight loss treatment & medications. If a patient decides to stop their weight loss plan & recurring payments they must call us & send in a typed/written email requesting to stop or suspend recurring payments for weight loss treatment. Payments will be stopped/cancelled or suspended on the date we receive the email request from the patient. Clinic staff will provide instructions about email cancellation procedure on the day the patient notifies us. This needs to be done a minimum of 5 days PRIOR to their next billing cycle (billing date). In the event patients are billed and they fail to return to clinic for their monthly weight loss visit and/or medication(s) & have failed to call, email and cancel their recurring payments BEFORE their billing date NO REFUNDS OR CREDITS WILL BE ISSUED / NO EXCEPTIONS. We will cancel and stop monthly payments for treatment ONLY ON THE DATE PATIENTS CALL, EMAIL OR NOTIFY US IN PERSON THAT THEY WISH TO DISCONTINUE TREATMENT & STOP PAYMENTS. WE DO NOT ISSUES REFUNDS. FAILURE OF THE PATIENT TO RETURN TO CLINIC FOR SERVICES ON A MONTHLY BASIS IS NOT THE RESPONSIBILITY OF WEIGHT LOSS & VITALITY – CANCELING SERVICES/PAYMENTS IN A TIMELY MANNER IS THE PATIENT’S RESPONSIBILITY. MEDICATIONS AND STAFF ARE AVAILABLE EVERY MONTH FOR EVERY PATIENT – AND THEREFORE NO REFUNDS ARE ISSUED FOR MISSED MONTHLY VISITS FOR TREATMENT/SERVICES/MEDICATIONS.
Per office policy: NO REFUNDS can be given on food products, medications (received and/or ordered) or paid monthly payments when patients have missed appointments / failed to come in for their monthly treatment / or failed to notify us of cancellation of treatment prior to their billing date – NO EXCEPTIONS.
By booking your appointment, you are confirming your understanding and compliance with Weight Loss and Vitality’s cancellation/billing policy.
