FINANCIAL POLICY
We would like to thank you for choosing Borealis MedSpa for your aesthetic needs. We are committed to providing you with the best possible care; if you have special considerations, we are here to work with you. As one of our clients we would like to keep you informed of the current office and financial policies. Please read each of the following sections carefully. The following information is provided to avoid any misunderstanding or disagreement concerning payment for professional services.
Payment:
Borealis MedSpa is a Cash Pay facility. ALL PAYMENTS ARE EXPECTED AT THE TIME OF SERVICE. Borealis MedSpa only accepts payment in the form of cash, VISA, MasterCard, American Express, Discover, and Care Credit.
Insurance:
Borealis MedSpa does NOT participate with or submit billing for any insurance companies outside of Weight Loss Management or medical treatment for Migraines and TMJ. A consultation is required prior to deciding if you are a candidate for an insurance based service. It is your responsibility as the patient to provide up-to-date insurance cards and information to Borealis MedSpa. It is also your responsibility to confirm your insurance company covers the services requested prior to scheduling your appointment. If insurance denies or does not cover your service you are responsible for the remaining balance due. A co-pay may also be due at time of check in.
Refund Policy:
ALL SALES ARE FINAL and ALL SERVICES ARE NON-TRANSFERRABLE. Before a service or product is purchased, please consider all the required protocols and side effects. We are committed to client satisfaction and are available to answer any questions or concerns you may have in regards to the services we offer before purchase. Borealis MedSpa may provide patients with prescription medication and if so, are subjected to state and federal laws. These laws do not permit us to restock sold items and accept returned prescription medications for refund.
Appointments:
Missed appointments represent a cost to us, and to other clients who could have been seen in the time set aside for you. We require a 24 hour notice for cancelling or rescheduling of any appointment. There is a charge of $50.00 for missed or late cancelled appointments. An active credit card number with the correct billing address will need to be placed on file to secure any future appointments. Excessive abuse of rescheduled appointments may result in discharge from the practice.
Package Agreement:
All Weight Loss, SculpSure, Laser Hair, Laser Skin Resurfacing, Skin Facials, TempSure, Tattoo Removal, Injectable and/or any other custom packages are all NON-REFUNDABLE and cannot be substituted or transferred for any other packages.
Services Policy:
I understand Borealis MedSpa has the right to refuse treatment and/or dismiss a client from any service at any time. I also understand that I may not be a candidate for certain services and it is at the full discretion of the medical provider to determine whether I am a candidate for any service provided.
I have read, understand, and agree to the office and financial policies set forth by Borealis MedSpa.
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Signature of Patient or Responsible Party Date