Nowak Aesthetics Patient Portal

Dr. Nowak provides the following forms available for download:

How To Schedule an Appointment

To schedule an appointment contact us at (619) 420-1840 and please be familiar with our cancellation policy below.

Patient Information Forms

If you prefer, you may complete this paperwork at your convenience by downloading this form. Please print all pages, complete them at your leisure, and bring them with you to your appointment. If not please allow 15 minutes prior to your appointment to complete our new patient registration package.

[PDF] Patient Registration Form (540 KB)

 

Missed Appointment Policy

Our goal is to provide quality individualized medical care in a timely manner. No-shows, late shows and cancellations inconvenience those individuals who need access to medical care. We would like to remind you of our policy regarding missed appointments.

Cancellation of an Appointment
In order to be respectful of the medical needs of other patients, please be courteous and call Dr. Nowak’s office promptly if you are unable to show up for an appointment. This time will be reallocated to someone who is in need of treatment. If it is necessary to cancel your scheduled appointment, we require that you call at least 24 hours in advance. Appointments are in high demand, and your early cancellation will allow another patient access to timely medical care.

Cancellation Policy
You may cancel or reschedule an appointment with no charge any time before the close of business on the business day preceding your appointment. Same day cancellations or appointment changes will be charged $50. No call no show will result in a $50 charge.

Payments/ Health Insurance

Payment for services rendered is expected at the time of service and can be made by credit card, cash or personal check. There will be a $35 added charge for insufficient fund checks. If you are insured by a PPO insurance plan or have a Health Saving account, please request a copy of the check-out form at the end of your visit. This form can be used to submit a claim to your insurance company for direct reimbursement. Please check with your plan administrator or insurance website for information regarding your policy’s benefits.

Medicare:
We are a “non-participating provider” and have opted out of Medicare. This means that neither you nor our office can seek reimbursement from Medicare or any supplemental insurance plans.

Financing Options

Please click HERE for more information on financing options at Nowak Aesthetics.

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