Financing Your Confidence

All surgeries require a $500 non-refundable deposit to be paid before the surgery date is scheduled. Once the $500 surgery deposit has been paid, no refund can be issued under any circumstances. A minimum of 50% of the balance of your surgery must be received by our office no less than 2 weeks (14 days) prior to your procedure date. If at least 50% of your surgery is not paid for at least 2 weeks prior to your procedure, your surgery will be canceled. The $500 surgery deposit will NOT be refunded. The remaining balance of your surgery must be received no less than 1 week (7 days) prior to your procedure date. If your remaining balance is not paid in full 1 week before your surgery, your surgery will be canceled.

If you choose to move the date of your surgery, this must be done no less than 2 weeks prior to the scheduled date. Any surgery moved in 2 weeks or less of the scheduled date will result in an additional $500 deposit being charged to re-schedule. If you choose to cancel your surgery, this must be done 72 hours before your scheduled date. If not canceled within this time, there will be NO refund.

At Green Country Surgical Arts, we value all of our patients’ time and make every effort to remain on schedule throughout the day. To ensure we can provide each patient with the appropriate level of care, the following late policy applies:

• Patients who arrive more than 15 minutes late for their scheduled appointment may be asked to reschedule.
• If an appointment must be rescheduled due to a late arrival, the consultation fee will be forfeited.
• A new fee will be required to schedule a subsequent appointment.
• This policy helps prevent delays that could impact the quality of care for other patients.

We understand that emergencies and unexpected delays can occur. If you anticipate arriving late, please contact our office as soon as possible so we can determine whether you may still be seen that day or assist you in rescheduling for a later date.

By scheduling an appointment with Green Country Surgical Arts, patients acknowledge and agree to this policy.

At Green Country Surgical Arts, consultation appointments are reserved specifically for each patient. To respect our providers’ time and ensure availability for all patients, the following policy applies:

• A fee is required to schedule a consultation appointment.
• Patients must provide a minimum of 24 hours’ notice to cancel or reschedule a consultation.
• Cancellations made with less than 24 hours’ notice, as well as no-show appointments, will result in forfeiture of the consultation fee.
• If a patient wishes to schedule another consultation after a late cancellation or no-show, an additional fee will be required to secure the new appointment.
• Fees are non-refundable but may be applied toward services only if the appointment is kept as scheduled.

We understand that emergencies may occur; exceptions may be made at the discretion of the practice.

By scheduling a consultation with Green Country Surgical Arts, patients acknowledge and agree to this cancellation and fee policy.

At Green Country Surgical Arts, appointment times are reserved exclusively for each patient. Failure to arrive for a scheduled appointment without prior notice prevents us from offering that time to another patient.

• Patients who do not arrive for their scheduled appointment and do not provide notice will be considered a no-show.
• In the event of a no-show, the consultation fee will be forfeited.
• A new fee will be required to schedule any future consultation or appointment.
• Repeated no-shows may result in additional scheduling restrictions at the discretion of the practice.

We understand that emergencies may occur. Exceptions may be considered at the discretion of the practice in documented emergency situations.

By scheduling an appointment with Green Country Surgical Arts, patients acknowledge and agree to this policy.

At Green Country Surgical Arts, pre-appointment instructions are provided to ensure patient safety and to allow us to deliver the highest quality care. These instructions are an essential part of your treatment plan.

• Patients are expected to follow all pre-appointment instructions provided at the time of scheduling and in appointment reminders.
• If a patient fails to follow required pre-appointment instructions and cannot be seen as scheduled, the appointment may need to be rescheduled.
• In such cases, the patient may be charged a fee based on the appointment type, and any applicable deposit may be forfeited.
• A new deposit may be required to secure a rescheduled appointment.

By scheduling an appointment with Green Country Surgical Arts, patients acknowledge and agree to follow all pre-appointment instructions and understand the consequences of not doing so.

At Green Country Surgical Arts, medical photography is an essential component of patient care and clinical documentation. These images are used for medical evaluation, treatment planning, outcome assessment, and compliance with medical recordkeeping standards.

• Medical photographs are required and are not optional.
• Refusal to allow necessary medical photography may result in the inability to proceed with a consultation or treatment.
• If an appointment cannot be completed due to refusal of required medical imaging, the appointment may be rescheduled, and any applicable deposit may be forfeited.
• A new deposit may be required to schedule a future appointment.

All medical photographs are securely stored and handled in accordance with HIPAA regulations. Images are used solely for clinical and documentation purposes unless separate written authorization is obtained for educational or marketing use.

By scheduling an appointment with Green Country Surgical Arts, patients acknowledge and agree to this policy.

At Green Country Surgical Arts, patient safety and optimal surgical outcomes are our top priorities. For this reason, all patients are required to completely discontinue nicotine use before and after surgery.

Nicotine Restriction Requirements

Patients must stop all forms of nicotine for:

• A minimum of 6 weeks prior to surgery
• A minimum of 6 weeks following surgery

Forms of Nicotine Included

This policy applies to all nicotine-containing products, including but not limited to:

• Cigarettes
• Cigars
• Vaping or e-cigarettes
• Nicotine patches
• Nicotine gum or lozenges
• Chewing tobacco
• Nicotine pouches (e.g., Zyn)

Medical Importance

Nicotine restricts blood flow and significantly interferes with the body’s ability to heal. Continued nicotine use increases the risk of:

• Poor wound healing
• Infection
• Excessive scarring
• Skin or tissue loss
• Delayed recovery and compromised surgical results

Compliance & Testing

Patients may be required to undergo nicotine testing prior to surgery to confirm compliance.

Failure to comply with this policy may result in:

• Cancellation or postponement of surgery
• Increased risk of complications, for which the patient assumes full responsibility.
• Additional Fees

• If you have been prescribed hydrocodone or Valium, please take it 30 minutes prior to your procedure.
• If you are coming directly from a MOH’s procedure, do NOT take the medication until you are on your way to our office.
• For your safety, you must have a driver to bring you to your appointment and take you home. You may not drive yourself or use rideshare services.

Due to limited lobby seating, we kindly ask that patients limit accompanying guests to one person.