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Payment
Some insurance companies reimburse for Medical Nutrition Therapy,
based on your medical diagnosis. Check with your insurance provider
or review your insurance policy. Nutrition for Life will not file
directly with your insurance company. Therefore, payment is expected
in full at the end of each visit. Check or cash only. If you would
like to file a claim with your insurance provider Nutrition for Life
can provide you with all the necessary paper work.
Fee
Initial Assessment (75min)
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..$100
Follow-up Visits (60min)
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...$80
Home Visit/Initial Assessment
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..$140
Home Visit/ Follow-up
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..
.$120
Public Speaking Event
(60min)
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$150
Home visits may be a
longer length of time than office visits. For every 15 minutes over
the initial 60 minutes $20 will be added to the final bill. Speaking
engagements may also be longer than an hour. For every 30 minutes
over the initial 60 minutes $50 will be added to the final bill.
Cancellations
Cancellations must be made at least 24 hours before your scheduled
appointment or you will be charged the full amount for the
appointment. If you fail to show for an appointment you will also be
billed the full amount.
Minors
Minors will only receive counseling with prior consent from their
guardian. If your minor is receiving counseling please accompany
them to their first visit.
Forms
Please read the following forms and bring them completed to your
first appointment.
Notice of Privacy Practices Form
Patient Consent Form
HIPAA Authorization Form
Office Policies/Client Contact Information Form
Food Diary Form |