patients and/or returning patients not seen in the past
6 months will be required to pay a confirmation fee of
$25.00 when appointment is made. This fee will be applied
to your first visit.
Balances, Information Changes
and balances are due prior to seeing provider.
notify us of any changes of address, phone number, or
for Prior Authorization. Must be paid in advance.
do not call Prescriptions in after hours.
Cancellation / No Show Fees
hours notice must be given for cancellations, or you will
Sherbondy and Donna Ambrose $60.00
office does not fill out Permanent Disability Forms.
Dr. Sherbondy takes you out of work, Short Term Disability
Forms can be completed for a fee, which must be paid
prior to the form's completion.
the day of your visit, please be sure to bring the
(if your insurance requires) Prior Authorization
letter or number
ID (Driver's License)
completed forms available
on this web site if you choose to complete them
prior to your visit
arrive 15 minutes prior to your appointment to allow
proper time to check in at the front desk.