When your visit is complete, the medical assistant will escort you to the check-out desk to schedule follow up appointments if necessary. Because statements and billing have become so expensive and because we do our best to keep all medical costs down, we ask that you pay any balance and copayments at check-in. We accept cash, personal checks, VISA, Discover Card, or Master Card. Our staff will file your insurance claims at no charge. Please have your insurance information available when you come for a visit and keep copies of all billing information so you can follow up on claims with your insurance company if necessary.