Scheduling Policies Form

Boston Ability Center Scheduling Policies

The Boston Ability Center’s top priority is helping your child meet his/her therapy goals as quickly as possible. Adherence to the recommended frequency of therapy sessions is the first step to ensuring success. We understand that rescheduling an appointment is sometimes necessary.Please let us know a minimum of 24 hours before your scheduled appointment if you need to cancel. Please initial each of the items below to indicate understanding of our cancellation and missed appointment policies.
Thank you for choosing the Boston Ability Center. We are so excited to get to know you and your child! I understand and agree to adhere to the appointment policy.
Patient's Name*

First NameLast Name
Legal Guardian's Signature*

Clear
Printed Name of Legal Guardian*
Date*

MonthDayYear
Date
Should be Empty:

Boston Ability Center Scheduling Policies