Understanding our policies and procedures ensures consistency, safety, and quality in everything we do. It helps protect our team, supports compliance with regulations, and ensures we deliver the highest level of service to our clients.
Cancellation Policy for Allied Healthcare ServicesAt Allied Healthcare LLC, we are committed to providing the best possible care to all our patients. In order to do so, we require sufficient notice to accommodate other patients who may need to schedule an appointment. Please review the following cancellation policy carefully.
Cancellation & Rescheduling Policy:New Clients: If you cancel or reschedule your appointment less than 24 hours before the scheduled time, a cancellation fee of $185 will be charged to your account.
Established Clients:If you cancel or reschedule your appointment less than 24 hours before the scheduled time, a cancellation fee of $105 will be charged to your account.
Required Notice:For cancellations or rescheduling, a minimum of 24 hours' notice is required. Notice must be provided during regular business hours to be considered valid.
No-Show Policy: If you fail to show up for a scheduled appointment without prior notice, the cancellation fee will still apply as outlined above.
Special Circumstances:We understand that emergencies and unforeseen events can occur. If you are unable to provide 24 hours notice due to extenuating circumstances, please contact us immediately to discuss potential flexibility in our policy.
Legal Disclaimer:This cancellation policy is in accordance with the laws and regulations of the state of Colorado regarding healthcare services. We reserve the right to modify or update this policy as needed to comply with applicable state laws and regulations. All fees will be billed directly to the patient or the responsible party on file. Payment is required upon receipt of the invoice. We appreciate your understanding and cooperation, as it allows us to continue providing timely care to all our patients. If you have any questions regarding this policy, please do not hesitate to contact our office.
Financial Responsibility:
Financial policies of Allied Healthcare, LLC, effective January 1, 2025:
Direct Payment Responsibility: I understand and acknowledge that Allied Healthcare, LLC does not directly bill any health insurance companies, auto injury insurance claims, or workers' compensation claims. I am solely responsible for all charges incurred for services rendered at the time of service.
No Medicaid/Medicare Participation: I understand that Allied Healthcare, LLC does not participate in the Medicaid or Medicare programs. Therefore, no services will be billed to or reimbursed by these programs.
Payment Due at Time of Service: I agree to pay for all services rendered at the time of each appointment. I may pay by cash, credit card, HSA, or FSA.
Documentation for Reimbursement: Upon request, Allied Healthcare, LLC will provide me with a detailed receipt and any necessary documentation, such as a superbill, to assist me in seeking reimbursement from my private health insurance provider. I understand that it is my sole responsibility to submit these documents to my insurance company and to pursue any reimbursement.
No Guarantee of Reimbursement: I understand that Allied Healthcare, LLC does not guarantee that my insurance company will reimburse me for services rendered. The decision to reimburse is solely at the discretion of my insurance provider.
Late Payment/Non-Payment: In the event of late payment or non-payment, Allied Healthcare, LLC reserves the right to:Suspend or terminate further services.Refer the outstanding balance to a collection agency.Pursue legal action to recover the debt.Apply a late payment fee to the outstanding balance.
Cancellation/No-Show Policy: I understand that Allied Healthcare, LLC has a cancellation/no-show policy. Failure to provide adequate notice of cancellation, as defined in Allied Healthcare, LLC’s written policy, will result in a charge, which I agree to pay.
Fee Schedule: I acknowledge that I have been provided with a copy of Allied Healthcare, LLC’s current fee schedule, which is subject to change. I understand that I am responsible for inquiring about and understanding the current fees for services.
Colorado Law Compliance: This financial consent form is governed by and shall be construed in accordance with the laws of the State of Colorado.
Entire Agreement: This financial consent form constitutes the entire agreement between Allied Healthcare, LLC and me regarding financial responsibility for services rendered.
This document outlines the expectations and rights of clients within this medical setting, ensuring a safe and professional environment in compliance with Colorado state laws.
Client Expectations:Hygiene: Clients are expected to maintain good personal hygiene.
Substance Use: Clients must refrain from using illegal drugs or alcohol prior to appointments, as these substances can compromise the safety and effectiveness of treatments.
Respectful Conduct: Clients are expected to conduct themselves respectfully towards staff and other clients.
Professional Boundaries:No Sexual Conduct: Clients and medical professionals must maintain strict professional boundaries. Any behavior of a sexual nature, including but not limited to sexual jokes, nicknames, or immodest conduct, is strictly prohibited.
Therapist Misconduct: Any sexual behavior exhibited by a medical professional toward a client will result in immediate termination and may lead to a formal complaint being filed with the relevant Colorado state licensing board, which may result in the loss of the professional's license.
Client Misconduct: Any sexual behavior exhibited by a client towards a medical professional will result in immediate termination of the session and refusal of further services.
Client Rights:Prompt and Professional Service: Clients have the right to receive prompt, professional, and courteous service.
Clean and Safe Environment: Clients have the right to receive services in a clean, private, and safe environment.
Confidentiality (Colorado Law): Client medical information is confidential and will not be shared with any member of the public or other healthcare providers without the client's written consent, except as required by law.A court of law may order the release of a client's medical records as part of a legal proceeding.Medical professionals are mandated reporters and are obligated to report information about the suspected abuse or neglect of a child, elderly person, or individual with a disability, as required by Colorado law.Medical professionals are obligated to report credible threats of self-harm or threats to harm another person to the appropriate authorities, as required by Colorado law.
Right to Terminate Session: Clients have the right to terminate a session at any time if they feel dissatisfied or uncomfortable.
Right to File a Complaint: Clients who are dissatisfied with a medical professional are encouraged to contact the clinic owner. Formal complaints can also be filed with the appropriate Colorado state licensing board, such as the Colorado Medical Board or other relevant board.
Statement Regarding Weapons Policy:At Allied Healthcare, the safety and well-being of our patients, staff, and visitors are paramount. To maintain a secure and safe environment, we have implemented a strict policy regarding the possession of weapons on our premises, consistent with Colorado state law.
Weapons Policy:Prohibition of Weapons: Possessing any weapon, including but not limited to firearms, knives (except those with a blade length compliant with Colorado law when carried for lawful purposes), explosives, and other dangerous objects, is strictly prohibited on all Allied Healthcare premises.
Law Enforcement Exception: Exceptions to this policy are granted solely to on-duty law enforcement officers authorized to carry weapons to perform their official duties.
Enforcement: Unless explicitly permitted under this policy, anyone found to have a weapon on Allied Healthcare premises must remove or depart immediately.
Consequences of Violation: Violation of this weapons policy may result in:
Immediate termination of services.
Expulsion from the premises.
Notification of law enforcement, as deemed necessary.
Other actions as permitted by law.
Colorado Law: This policy is implemented by Colorado state law, including but not limited to regulations regarding concealed carry and other weapons-related statutes.
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