Please Review Our Clinic Policies

Appointment times are reserved exclusively for each patient.

Cancellation Policy

• Patients who cancel more than 24 hours before their scheduled appointment will receive a refund of the appointment fee less a $25 administrative and payment processing fee.
• Cancellations made less than 24 hours before the scheduled appointment are non-refundable.
• Refunds approved under this policy will be issued to the original form of payment.

Appointment Rescheduling

• Patients who need to reschedule their appointment date and/or time must submit a request through the patient portal or leave a voicemail indicating the desired appointment date and time.
• Rescheduling requests will be honored provided that the requested appointment time is available and the request is received at least 24 hours prior to the originally scheduled appointment date and time.
• Requests received less than 24 hours before the scheduled appointment will be treated as cancellations and will be subject to the Cancellation Policy above. Patients are responsible for ensuring that cancellation or rescheduling requests are successfully submitted and received by Sorelle Health.

No-Show Appointments

Patients who fail to attend a scheduled in-person or virtual appointment will forfeit the full appointment fee and will not receive a refund.

• Patients arriving more than 10 minutes late may be asked to reschedule if there is insufficient time remaining to safely and appropriately provide care.
• If an appointment is rescheduled due to late arrival, the Cancellation and No-Show Policy may apply.

• I understand that Sorelle Health, PLLC is a direct-pay medical practice.
• Sorelle Health does not bill commercial insurance plans, Medicare, Medicaid, or other third-party payers for professional services rendered by the practice.
• Payment is due before services are provided unless otherwise arranged by the practice.
• I understand that I am solely responsible for payment of all fees associated with my care.
• Upon request, Sorelle Health may provide a superbill for services rendered. Submission of a superbill does not guarantee reimbursement, and patients are responsible for verifying any out-of-network benefits with their insurance carrier.

• I understand that charges for services will be disclosed prior to treatment whenever reasonably possible.
• I understand that fees for services already rendered are non-refundable.
• Refunds for prepaid appointments canceled before services are rendered will be governed by the Cancellation, Rescheduling, and No-Show Policy above.
• I acknowledge responsibility for any charges incurred through my care, including services not covered by insurance, if applicable.
• I understand that I am responsible for charges incurred through outside laboratories, imaging facilities, pharmacies, specialists, hospitals, or other third parties.
• I understand that laboratory testing, imaging studies, pathology studies, and prescriptions may generate separate charges from third-party providers and are not included in Sorelle Health's professional service fees unless specifically stated otherwise.

• I understand that Sorelle Health requires a valid credit or debit card to be maintained on file.
• I authorize Sorelle Health to securely maintain a credit/debit card on file in accordance with this agreement.
• By signing this agreement, I authorize Sorelle Health to charge my card on file for:
  • Services rendered
  • Outstanding balances
  • Cancellation and no-show fees in accordance with this agreement
  • Patient-authorized charges
• Whenever reasonably practicable, Sorelle Health will provide notice before charging my card for balances not collected at the time of service.
• I agree to maintain current and valid payment information and to promptly update the practice if my payment information changes.