DIGITAL KETAMINE CONSENT FORM
Time of Service Billing
Helios requires payment at time of service. Patients are asked to leave a valid credit card on file which will be automatically charged if payment is not made at time of service.
For privacy and compliance purposes, invoices and statements are posted to your secure portal. Statements may also be provided directly upon request.
The secure portal (Valant) does not currently provide the ability to pay online. To ensure timely collection for services rendered, you may bring a check or cash to your appointment. Otherwise, we ask that you submit a valid credit card to your provider via the Valant Patient Portal authorizing automatic billing after each appointment.
Rates & Insurance
Appointment rates are determined with your provider. Helios currently does not accept insurance, however patients may directly submit invoices for reimbursement if their plan allows.
Want to Pay An Overdue Balance?
Cancellations must take place at least 24 hours before an appointment. All other cancellations are billed at the regular rate.
Email us at email@example.com