Charlton Ear, Nose and Throat Associates

Office Policies


Thank you for choosing our practice to take care of your health care needs. We know that you have a choice in selecting your medical care and we strive to provide you with the best service possible. Here are a few of our office policies.



All patients must complete a patient information form before seeing their provider.



Full payment is due at the time of services are rendered unless other payment arrangements have been made.


NSF/ Closed Accounts

There will be a $35.00 charge added for returned checks.


Appointments/ No Show

We request 24 hour notice for appointment cancellations. Patients with three (3) missed appointments and/ or no shows annually will result in dismissal from the practice. If you no show to your appointment you will be charged $25.00. These charges are not payable by your insurance company. You will be required to pay this charge before your next scheduled visit.



Insurance cards must be available prior to each visit. Please notify our office if there is a change in your insurance plans or coverage. We file claims as a courtesy to our patients and are only responsible for filing claims to contracted insurance company and the member. Any dispute for unpaid charges form the insurance company will be billed to the member. All patients must have an insurance ID card in order to utilize benefits.


Medication Refills

All prescription refill requests should be called into your pharmacy at least five (5) working days before the last pill taken to allow adequate time for approval. Refills will only be handled during normal business hours, Monday through Friday. Narcotic prescriptions will not be refilled after office hours or on weekends.



Allow 5 to 7 working days to process routine referrals.



Physical and verbal abuse towards the office staff will not be tolerated. This includes disruptions affecting daily operations within the office as well as offensive behavior on the telephone with office personnel. Abusive behavior towards personnel will results in immediate discharge from the practice.


Thank you for your understanding and agreeing to our Office Policies. We are committed to be an involved member of your healthcare team working together for your health!