I understand that Dr. Petros Efthimiou is an OUT OF NETWORK physician and all charges are expected to be paid at or before the time of service. Dr Petros Efthimiou’s office is not responsible for the amount of reimbursement from my insurance company. No-shows or cancellations within 24 hours from the time of the appointment will result in forfeiture of prepaid visit fee. I have been informed by his office regarding this policy and agree to its terms and conditions.