Dr. Lolley's Forms

Please print and fill out the forms before arriving for your initial visit. Alternatively, arrive 15 minutes early to allow time to fill them out in the office. 

Nick's Forms

Please print and fill out the forms before arriving for your initial visit. Alternatively, arrive 15 minutes early to allow time to fill them out in the office. 

sAVANNAH’S FORMS

New patients with Savannah are asked to arrive 10 minutes early to fill out forms or contact her directly to receive a link for downloading forms ahead of time.

Welcome to our office website ~ We look forward to working with you! 

Please take a moment to familiarize yourself with our office policies and procedures. 

Payment Policy ~ Payment is required at the time of service unless other arrangements have been previously made. For your convenience, we accept cash, personal checks, MasterCard and Visa debit/credit cards.

Insurance Billing ~ We are currently not contracted with ANY insurance companies/plans, and are considered an OUT OF NETWORK PROVIDER; We encourage patients to call their insurance company for their specific reimbursements. We will be happy to provide you with a “coded bill”, which YOU can submit to your insurance provider. 

Missed Appointments ~ We charge $50.00 for appointments missed or cancelled in less than a 24 hour notice (business hours). If you need to reschedule your appointment, please give us 24 business hours’ notice. The office is closed on Mondays, so appointments scheduled for Tuesday must be cancelled by the end of business at 4pm on Friday.