Payment is due at time of service. Telemedicine visits require a credit card on file to charge after the visit. No show appointments incur a $100 no show fee.

​We accept cash, check and credit card. Checks are made out to Regen IV Wellness. A $35 service charge will be added to all returned checks.

​Regen IV Wellness is not contracted with any insurance companies and is not allowed to submit any claims on patient’s behalf. Regen IV Wellness provides documentation for insurance filing upon patient request.

I understand that I am financially responsible for any charges incurred and must pay Regen IV Wellness up front and in full the same day that I receive treatment.

I understand that is my responsibility to contact my insurance carrier directly regarding any claims I would like to make and that I must submit these claims myself.

I understand that any payments or reimbursements from any insurance company will come directly to me. I hereby authorize Regen IV Wellness to release any medical information necessary to process claims I may have submitted for services/treatments in the office.

If full payment is not made for services rendered, I understand that Regen IV Wellness may be forced to take collection or legal action. I agree I will be liable for additional expenses, such as legal fees, interest on the unpaid portion of my account balance, and collection fees.