WELCOME TO OUR OFFICE
We require that all patients read and sign our Office Policy forms, Medical/Dental History form, HIPPA and any Insurance Forms before seeing the doctor.
Today you will receive a comprehensive examination and any necessary x-rays. A treatment plan will be established depending upon your individual needs and preferences.
IF YOU HAVE DENTAL INSURANCE THAT IS ASSIGNABLE TO OUR OFFICE, YOU WILL BE RESPONSIBLE FOR CO-PAYS, IF ANY. Regarding insurance plans where we are participating providers, a co-payment may still be necessary today and each visit. Please realize that some of the services provided may not be covered or only partially covered- depending upon your individual policy, deductibles and maximum allowances. We will be happy to advise you should you have any questions or concerns.
IF YOU DO NOT HAVE DENTAL INSURANCE/ IF YOUR INSURANCE IS “NON-ASSIGNABLE”, FULL PAYMENT IS REQUIRED TODAY. Payment is due in full upon the completion of treatment. Payment can be made by cash, checks, Mastercard, Visa, American Express, and Discover. We also provide interest free finance plan if applicable.
Unless cancelled at least 24 hours in advance, our policy is to charge $50.00 for missed appointments. If you cannot keep a scheduled appointment, let us know as soon as possible so that we can give it to someone in need.
We welcome you to our office and thank you for reading and understanding our office policy.
Dr. Grace Hsu, D.D.S & Staff
898 Oyster Bay Road * East Norwich, New York 11732
TEL (516) 922-5740