Consultation Fee Schedule ST-2a

  • Detailed Pre-Treatment Consultation

    This consultation with an INR PLLC medical provider will include a review of patient history, review of potential treatment options, and discussion of the potential suitability of anti-TNF treatment.

    Cost of Consultation:
    $1000.00 USD

    Policies:

    • Payment in full prior to the consultation is required.
    • The full consultation fee is final and non-refundable regardless of the treatment modality chosen or even if non-treatment is elected.
    • Fees quoted are subject to increase at anytime.
    • Cancellation Policy: 48 business hours (Monday through Friday) notice is required for all appointment cancellations. If appropriate notice of cancellation is not given, the entire $1000.00 USD fee is forfeited.

    Please be advised that our office does not participate with Medicare or any other insurance program. Fees are the responsibility of the patient/caregiver. Since the FDA has not approved this procedure and medication for this use, insurance reimbursement for the consultation or the procedure is not to be expected.

    I understand that the INR PLLC medical director is certified by the American Board of Internal Medicine and not board-certified in Neurology. I understand that the INR is a private practice. I understand that consultation does not guarantee that treatment will be recommended for me. I understand that I have no obligation to choose treatment, even if it is recommended. I have read the above fee policies and agree to them. I understand this fee reserves my consultation time as scheduled and is non-refundable. I agree to be responsible fully for all charges incurred.

  • By typing my name in the above below I agree that my electronic signature shall be valid for the purposes of this document.
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  • By typing my name in the field above I agree that my electronic signature shall be valid for the purposes of this document.
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