We thank you for choosing to see us. We hope you choose to fill out this survey and provide us your information online. Having your data in this format helps us help you. Consider asking a family member or friend for help if online forms are difficult for you.
If for any reason you wish not to fill out the form, just let our front desk know when you come in to see us. We will provide you a form to fill out at that time. We want to see you and improve your sleep regardless.
Financial Policy of Brian Abaluck, LLC.
Copays are due at time of service. If you do not have insurance, please inform us, and we will offer a fair price for our services. We work hard to respect your time and stay as close to schedule as possible. If you are 15 minutes late for an appointment, then seeing you could cause all subsequent patients in a session to be seen late, so we may reschedule your visit. If you schedule an appointment and then no-show, we may bill you $50.
Scope of Practice Policy of Brian Abaluck, LLC
This practice treats only sleep disorders. Sleep disorders may contribute to neurological disorders, and we may discuss these links if you have a known neurological disorder. That said, among new patients, we do not evaluate or treat neurological disorders including but not limited to headache, memory loss, unsteadiness, seizures, numbness, weakness, vertigo, neuropathy, or pain. If we find evidence of a neurological disorder on history or exam, we can provide a referral.
Agreement with our Financial and Privacy Policies.
I agree to the Financial, Privacy, and Scope of Practice Policies of Brian Abaluck, LLC.
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