Office Forms and Policies

Insurance Policy

Rivia Medical aims to provide high quality care. Our providers accept selected insurance plans. Please contact our office for more details.

Financial Policy

All fees, including co-payments and co-insurance payments, are due at the time of service. Payment is accepted in the form of cash, check, credit card, health savings account (HSA) or flexible spending account (FSA).

Cancellation and rescheduling Policy

We require 48 business hours (2 business days) notice for cancellation of an appointment. For example, appointments on Monday morning must be canceled by Thursday morning of the prior week. Any cancellation within 48 business hours will result in a cancellation fee. We value your time and appreciate your cooperation with our cancellation and rescheduling policy.

Health Insurance Portability and Accountability Act (HIPAA)

HIPAA—Notice of Privacy Practice


Patient forms:

Please contact our office for more details.