Fond du Lac, WI 54935
The Fox Valley Wellness Center/Midwest Hyperbarics commitment:
Our principal goal at Fox Valley Wellness Center is to keep you healthy and to offer services that will meet your needs. In order to perform these services, we collect, create, use and disclose information about you.
We are dedicated to keeping your health information private, in accordance with federal and state law. As required by the federal Health Insurance Portability and Accountability Act of 1996 (HIPAA), we provide you with this notice of our legal duties with respect to health information.
Fox Valley Wellness Center/Midwest Hyperbarics is a cash-based facility. Payment must be made in full at time of service. Upon request, we will complete and mail a claim form to you which you can use to submit to your insurance company for reimbursement. Payment would be made directly to you if your insurance company chooses to pay for any of the claims that you submitted.
Cash, Checks, MasterCard, Visa & Discover. Checks returned as NON-SUFFICIENT FUNDS will be charged a $25.00 fee plus the bank fees that are charged to FVWC by our financial institution. We do not offer payment plans.
We at FVWC understand that a person's schedule can change, necessitating rescheduling of your appointment. We require at least 72 business hours' notice for new patient appointment cancellations. The new patient deposit of $254.00 will be kept for any new patient appointments that are missed or cancelled with less than 72 hours' notice. We require at least 48 hours' (or the Wednesday before a Monday appointment) notice of cancellation for established patients. A fee of half the scheduled office visit will be charged for non-cancelled and missed appointments for established patients. A pattern of non-cancelled appointments may result in discharge from the practice.