Medical History Form
In advance of your visit, please complete the Patient Medical History Form and bring it with you when you come into the office.
Office Policies
Thank you for choosing Dr. Esser as your healthcare provider.
PRICING is as follows:
- Phone appointments (for patients who do not have insurance) are $60.00 per ten-minute increments and will not be prorated per minute.
- Patient portal questions requiring Dr. Esser to refer to your chart or perform research to answer your question will be charged $40.00-$80.00.
- All blood draws are a $40.00 nonrefundable fee.
- Weight Loss Appointments are not covered by insurance: initial consult is $200, follow-up appointments range from $100-$120.
These fees cannot be billed to your insurance and are expected to be paid in full within 30 days from your first statement.
I understand that if I fail to pay the balance on my account this may result in a bad debt on my account which will require payment in full prior to scheduling any further appointments or could result in the account being forwarded to an outside collection agency and permanent dismissal from the practice. If this happens, I understand I will be responsible for all costs of collections, including but not limited to interest, rebilling fees, court costs, attorney fees, and collection agency costs.
We offer a cash discount of 15% for anyone paying cash (not paying via insurance) for an in-office or telemedicine appointment except for weight loss appointments.