- POLICY & PROCEDURES
Please print and complete the New Patient Handouts and return to our office at your first visit.
You are contracted with your insurance to pay a copayment at time of visit. If the copay is not met at time of visit, there will be an additional $20.00 in addition to your copayment charged to your account.
There is a charge for all school forms; camp forms; scout forms, etc.of $10.00 per form, per child. If mailing your forms; please include full payment. Please complete all your necessary information prior to giving us the form. Sports Physical forms require Part A to be completed and attached to Part B before the doctor can complete their portion. All forms requested to be returned within 24 hours will incur a $15.00 rush charge.
Here at Bergen West Pediatrics, we try and put in place policies and procedures so all of our patients are treated fairly and professionally.