Our office is conveniently located and accessible via all major roads. Dr. Mendoza takes great pride in offering exceptional services. Our office places its full value on treating the whole person.
Our friendly, compassionate and competent staff is dedicated to you and will ensure your comfort and quality care. We provide the best and latest in technology and treatment options. We provide gentle, family-oriented care to the adults and children of our community here and surrounding areas.
Our office is warm and inviting. You will always be greeted with a smile and treated with the utmost dignity and respect. You will play an active role in your treatment and your voice heard when you have questions or concerns.
Currently we do not accept any insurance. This is because we truly believe in the value of your care. The insurance companies have no investment in your care or how well you benefit from what they do give to you. You will be there as long as you pay. We want to afford you the best of all options. I do not feel that I can best serve you, if I have to give you medications that I know can cause more problems because of their actions or the synthetic materials they are made of. I want to be able to know that the medications that I have given you are the best for you. I also do not like to give many different medications or nutraceuticals; I do not believe that quality is best served with quantity. I will tell you what I believe is the best for you to use, rather than just telling you to go buy something.
This membership agreement (“Agreement”) specifies the terms and conditions which you, the undersigned member (“Member”), may participate in Dr. Dianna Mendoza’s, PLLC, Concierge Medicine program, Basic Package, Weight-loss Package, and Back to Health Packages. This agreement will become effective on the date you sign this Agreement (the “Effective date”).
The Program’s annual fee encompasses the following services (“Services”)
Concierge medicine annual care, Basic package, Weight-loss package and Back to Health packages annual membership. These all include initial physical examinations, blood work as prescribed as needed by the physician, that will include, but is not limited to CBC, CMP, lipid profile, CRP-HS, HgA1c, thyroid panel (TSH, fT3, fT4). The first laboratory services will be included in the price of the package. All other laboratory work through the year will be at the cost of the patient. All medications and/or nutraceuticals that are prescribed for the patient will be at the cost of the patient.
Annual Membership Fee
Each member will pay an annual fee as outlined for each package;
1) Concierge Medicine Package: $5,000 per annual membership, this price will remain the same for all who sign up this year. They will remain “grandfathered in” and will experience no price increase as yearly price changes.
2) Basic Package #1 – $299 per month or save by getting a yearly package and get the last month free!
3) Weight-loss package #2 – $399 per month or save by getting a yearly package and get the last month free!
4) Back to Health Package #3 – $499 per month or save by getting a yearly package and get the last month free!
Renewals and Termination
The Annual fee covers a period of one year. Failure to pay the renewal Annual Fee shall result in termination of your membership in the program. You or Dr. Mendoza may terminate this Agreement upon 30 days written notice. If the membership is terminated prior to receiving your Services, you will be entitled to a prorated refund of the annual fee. If you have received your services you will not be eligible for a refund and you will be responsible for the balance of the Annual fee. Unless otherwise terminated, this Agreement shall automatically renew for an additional one-year period upon the expiration of each term.
Medical Care Services Excluded from Annual Membership Fee
The Annual Fee specified herein covers only the defined Services note above. Dr. Mendoza will not seek reimbursement from any insurer or other third-party payer for the Services. Except for your Services, you will be responsible for all healthcare and medical services received from Dr. Mendoza. Dr. Mendoza will print out a superbill for you to submit to your insurance company.
All payments are due at the time of service at the initial consultation. These payments may be made with cash, check, debit or credit card. If it is elected to do monthly service charge, your credit card will be filed and deductions will occur on the first day of the month. If fees are paid in advance, then with the exception of the Concierge program, the last month will be deducted and a cost savings of one month will be given to you. If there is a returned check, then the fee of $30 dollars will be deducted.
The Annual Fee does not affect the co-payments, co-insurance or deductible’s that are your responsibility according to your insurer.
The undersigned agrees to the terms of this agreement, and all of which are expressed herein. There are no promises or representations except as set forth herein.
Any communications required or permitted to be sent under the Agreement shall be in writing and sent via U.S. mail to the addresses as set forth in this Agreement. Any change in address shall be communicated in accordance with the provisions of this section.
Initial payments are processed at the time of enrollment. Subsequent payments are charged quarterly, semi-annually or annually as elected by the member. Payments may be made by cash, check, debit card or credit card.
This Agreement shall be governed by and construed in accordance with the laws of the State of Arizona without regard to Arizona’s choice of law provisions.