Office Forms and Policies

Insurance Policy

Rivia Medical is a concierge practice. In order to provide the highest possible level of care, our doctors will accept certain insurance plans on a case-by-case basis. 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 or credit card.

Cancellation and rescheduling Policy

Please allow 24 business hours (1 business day) notice for cancellation of an appointment. (i.e. an appointment scheduled for Monday at 11am would have to be cancelled by Friday at 11am. Non-compliance will result in a charge of the full session fee.

Health Insurance Portability and Accountability Act (HIPPA)

HIPPA-Notice Of Privacy Practices


Patient forms:

Please contact our office for more details.