| $4,750.00 |
Total
Obstetrical Care – this includes all
prenatal visits, vaginal
delivery and post-partum care.
|
| |
|
| $5,450.00 |
Total
Obstetrical Care – this includes all
prenatal visits, primary
and repeat cesarean sections and post-partum
care.
|
| |
|
| $5,595.00 |
Total
Obstetrical Care for High Risk Pregnancies –
this
includes
all prenatal visits, delivery and post-partum
care.
|
| |
|
| $500.00 |
Circumcision |
PAYMENT:
We expect monthly payments to be made towards
your obstetrical fee.
If you do not have maternity coverage, monthly
payments of $700.00 are expected to be paid at the
time of your monthly visit.
INSURANCE:
Please bring a copy of your insurance card.
ADDITIONAL
FEES: Any
lab work, ultrasounds, non-stress tests, etc. are not
included in the above-stated fees.
Payment for such is expected and required at
the time of these services.
The
above policies have been explained to me, and I agree
to all the above information
that has been stated and agreed upon.
SIGNATURE:_________________________
DATE:______________________
|
