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Terms and Conditions

Welcome to Campbell Family Chiropractic. We are committed to providing you with the highest standard of chiropractic care. By becoming a patient at our office, you agree to comply with the following terms and conditions. 

1. Appointments and Scheduling

1.1 Scheduling: Appointments can be scheduled by calling our office at 408-963-6069 or through our online booking system.

1.2 Cancellation Policy: If you need to cancel or reschedule an appointment, please notify us at least 24 hours in advance. Failure to provide adequate notice may result in a cancellation fee of $25. If you believe extenuating circumstances apply, feel free to contact the office and explain them.

1.3 Late Arrivals: If you arrive late for your appointment, your session may be shortened to accommodate subsequent appointments. Full charges may still apply.

2. Treatment

2.1 Treatment Plan: Your chiropractor will create a personalized treatment plan based on your individual needs and health goals. It is essential to follow this plan to achieve the best results. We encourage you to take part in and ask questions about your treatment plan if you need clarification or understanding.

2.2 Informed Consent: You will be provided with information about the proposed treatments, including potential risks and benefits. You have the right to ask questions and provide consent before any treatment is administered.

2.3 Changes in Health: Inform your chiropractor of any changes in your health, medical condition, or medications that may affect your treatment. If you are unsure whether or not, your health information will impact or be impacted by your chiropractic treatment, please disclose your concerns to the chiropractor.

3. Fees and Payment

3.1 Fees: Fees for services will be provided to you before treatment. Please inquire about our current fee schedule if you have any questions.

3.2 Payment: Payment is due at the time of service unless prior arrangements have been made. Consult the front desk if you have questions or require accommodations regarding payment. Fill out the financial hardship affidavit if you do require special accommodations.

3.3 Insurance: If you are using insurance, please provide us with your insurance carrier, identification number, date of birth and address before your first appointment. It is your responsibility to verify coverage and understand your benefits but we will help where we can. 

3.4 Non-Payment: Accounts not paid within 45 days may be subject to late fees and collection procedures. You are responsible for any costs incurred in the collection of unpaid accounts, including attorney fees and court costs. 

4. Privacy and Confidentiality

4.1 Confidentiality: Your health information is confidential and will be protected in accordance with HIPAA regulations. We will not disclose your information without your consent except as required by law.

4.2 Records: You have the right to access your medical records. Requests for records must be made in writing and may be subject to copying fees.

5. Conduct and Office Policies

5.1 Behavior: Patients are expected to behave respectfully towards staff and other patients. Disruptive or inappropriate behavior may result in termination of care.

5.2 Children: Children are welcome but must be supervised at all times. The office is not responsible for the safety of unattended children.

6. Termination of Care

6.1 Termination by Patient: You have the right to terminate your care at any time. Please notify us in writing if you choose to do so.

6.2 Termination by Office: We reserve the right to terminate the doctor-patient relationship under certain circumstances, such as non-compliance with the treatment plan, non-payment, or inappropriate behavior.

7. Emergency Care

7.1 Emergency Situations: Our office does not provide emergency services. In the event of a medical emergency, please call 911 or go to the nearest emergency room.

8. Governing Law

8.1 Jurisdiction: These terms and conditions are governed by the laws of the State of California.

OUR CLINIC

Address:

653 East Campbell Ave., Suite 2

Campbell, CA 95008

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Office Hours:

Tue - Fri: 10am - 7pm 

​​Saturday: 10am - 5pm ​

Sun-Mon: Closed

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© 2024 by Campbell Family Chiropractic.

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