Policies
*Appointments are required;
Monday through Friday 8-4:30 (815-963-4101)
*No parental or spouse consent is required.
*Payment is due at the time of service.
We do not bill your medical insurance but we will provide you
with a receipt that you can submit to your insurance for
reimbursement that has all the ICD9 codes. Your insurance
company will make payment directly to you.
* STRICT PRIVACY is maintained regarding appointments and
records. Information can only be released on your signature. No
information about you will be released even to confirm an
appointment.
Fees
Surgical Abortion: To 12 weeks $500.00
13 to 14 weeks $625.00
15 to 16 weeks $775.00
17 to 18 weeks $925.00
Medial Abortion: To 8 weeks $600.00
Anti-Immune Globulin To 12 weeks $ 50.00
For Rh Negative Women Over 12 weeks $100.00
If Refused or Change Mind
Ultra Sound $ 75.00
Depo Provera $ 85.00
Madison Referral $100.00
Morning After Pill Rx $ 25.00
Monday through Friday 8-5 (815) 963-4101
www.niwc-rockford.com
Our purpose is to provide you with reproductive health
information, counseling, and options, to enable you to make the
best decisions.
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