Existing Patients

We will stay in contact through the patient portal and email in between clinic visits to ensure that care is seamless and that we are making appropriate progress. Please use the patient portal for all patient healthcare communication as it is HIPPA compliant. If you opt out of using the patient portal, please use the telephone to communicate patient information with Dr. Grayson. 

Payment is due at the time of service. To ensure that Dr. Grayson is paid for services rendered in a timely manner, every Patient and/or Patient’s Guarantor must complete and sign Dr. Grayson’s Credit Card Authorization form or input their payment method into the patient portal. Dr. Grayson uses Dr.Chrono (onpatient) via Square for credit card processing. Credit card is preferred method of payment. 

You are responsible for timely payment of Dr. Grayson’s services, regardless of the status of any reimbursement you may seek elsewhere. Late fees are avoided by ensuring that your Credit Card Authorization is current on the patient portal. If your credit card is declined for any reason, and your balance is not paid within 5 business days, then your patient account will incur a $50 late fee (and an additional $50 for every additional week). Dr. Grayson may impose reasonable interest, late charges, direct collection costs, court costs, and/or reasonable attorney’s fees should your patient account become delinquent. For returned checks, the Patient will be charged for the amount of the returned check plus a $50 fee. Any other financial arrangement must be made with Dr. Grayson, in writing, prior to service.

Credit Card Authorization form can be found at bottom of page

To make follow up appointments: 

• Follow link DrChrono Scheduling

• Make appointments through online portal 

FOLLOWUP APPOINTMENTS: are made either at the end of your appointment or online through patient portal. 

APPOINTMENT RESCHEDULING: can be done through the patient portal, please make all changes prior to 24 hours before your appointment to avoid a cancellation fee.

CANCELLATION POLICY: If you are unable to make an appointment, please let Dr. Grayson know as soon as possible by calling the office and leaving a voicemail message or canceling online. Because your appointment time is reserved for you, you will be charged the full fee for the scheduled service(s) unless you cancel 24 hours in advance (not including weekends or holidays). Exceptions to the missed appointment fee will be made for weather emergencies. If you are late for your appointment, you will be seen for the remaining appointment time and will be charged the full appointment fee.

A Late Cancellation Fee will be charged if the Patient (or Patient’s Representative):

·   Cancels the appointment less than 24 hours prior to appointment time; or

·   Fails to show up for a scheduled appointment; or

·   Arrives for their scheduled appointment with 15 minutes or less remaining in their scheduled time slot.

Medications refills will mainly be completed during patient visits. However if a refill is needed in between visits please request one through the patient portal. Once received it will be sent electronically to your pharmacy. It is the Patient’s/Parent’s responsibility to request medication refills in a timely manner.  Dr. Grayson’s office requires at least 3 (three) business days in advance to respond to prescription refill requests.  Urgent prescription requests requiring a response in less than 2 business days’ notice may be subject to a fee.  Prescription refill requests can only be provided to current patients of the practice. 

We are an out of network provider for all insurance plans.  We do not accept payment directly from any insurance company.  Patients/parents are responsible for all fees associated with treatment at time of appointment. We will provide you with the paperwork necessary for you to submit a claim to your insurance for reimbursement and take advantage of any out of network benefits. Please request a super bill on the portal if you would like to submit for out of network benefit. 

We have partnered with Reimbursify for you to easily submit your claims for out-of-network health insurance reimbursement.  Download the app or click file claim now below and get your first five claims for this practice free: