Office Policies

OFFICE POLICIES

A. CONSULTATION FEE

The consultation fee is non-refundable but can be applied to your surgery if booked on the same day as the consultation. It is not applicable to products or non-surgical treatments.

Rescheduling within 24 hours will result in a rescheduling fee or $100 rescheduling. If you reschedule with at least 24 hours of anticipation, we will waive your rescheduling fee one time. If you reschedule for a second time, the rescheduling fee of $100 applies.

No show/same day cancelations will result in a non-refundable consultation fee.

B. SURGICAL PROCEDURES

Please refer to document titled: Financial Policies for Surgery.

C. NON-SURGICAL PROCEDURES

Cancellations within 24 hours and no show will result in a charge to your account of 50% of the total cost of the scheduled procedures. The account balance must be current before scheduling any further appointments. Scheduled treatments on prepaid packages will result in debit of that day’s treatment from the series.

All skin care products are considered final sale.

D. COMMUNICATION BY EMAIL AND/OR TEXT

It may become useful during the treatment to communicate by email, text message (e.g., “SMS”) or other electronic methods of communication. Be informed that these methods, in their typical form, are not confidential means of communication. If you use these methods to communicate with our office, there is a reasonable chance that a third party may be able to intercept those messages.

I consent to allow the office of Jose Rodríguez-Feliz, MD, and its affiliates to use email and mobile phone text messaging to transmit to me the following protected health information:

• Appointment reminders
• General communication (HIPPA Compliant)

E. LATE ARRIVALS

In respect for our patients and providers' time, we ask for all patients to arrive on time for their appointment. This ensures that all our patients will receive an exceptional experience at our practice. Please note that any patients with an arrival time of 15 minutes past their scheduled time will be treated as a rescheduling and/or cancellation of their appointment. The appropriate fees will apply.

F. VIDEOTAPE / PHOTOS FOR CONSULTATION AND/OR TREATMENT FOLLOW-UP

I hereby irrevocably consent to and authorize the use and reproduction by Jose Rodríguez-Feliz, MD or Soléstica, a Florida limited liability company ("Company"), and its affiliates, or anyone authorized by any of them, of any and all photographs, electronic images, or video footage of me taken by them, or that they have in its possession, provided either by me or by a third party (collectively, Images) for the purpose of an evaluation / consultation and/or follow-up on any treatment / surgery performed by them.

I hereby warrant that I am over twenty-one years of age and competent to contract in my own name insofar as the above is concerned.

I have read and understand the foregoing release, authorization, and agreement, before signing my name below, and enter it knowingly and voluntarily.