Scheduling Agreement
Scheduling Appointments
As a courtesy to our providers and patients, we require at least 2 business days’ notice for cancelling or rescheduling appointments. Missed, rescheduled, or cancelled appointments without 2 business days' notice will incur a no-show fee of $100.
All appointments require a credit card on file including complimentary appointments and services intended to be paid for with a gift card.
Some of our services require a scheduling deposit at time of booking. Scheduling deposits are applied towards your scheduled treatment. If you need to cancel or reschedule your treatment and provide adequate notice of 2 or more business days, we will credit your account the scheduling deposit we collected as a credit towards future treatments. The scheduling deposit is nonrefundable.
To avoid the no show/cancellation fee of $100 please make sure you reach out to us at least 2 business days prior to your scheduled appointment.
Please note that we do not accept third party financing for appointment deposits. Scheduling deposits and payments for procedures are non-refundable.
Consultations
Consultations with Dr. David P. Rapaport are $500, due 2 business days prior to the scheduled appointment. The consultation fee is non-refundable. Your consultation fee is applicable to your quote for up to one year from the date of issuance. Missed appointments, or appointments cancelled without 2 business days' notice, will incur a fee of $250.
Dr. Mansher Singh offers complimentary consultations. However, please note that a valid credit card is required to schedule your appointment. We require 2 business days’ notice prior to your scheduled appointment to avoid the no show/cancellation fee of $100.
Prior to your appointment, you will receive an email and/or text message prompting you to confirm your booking. Should you need to cancel or reschedule before the cancellation period, please call the office. If a response has not been received by two business days ahead of your appointment, we will make a courtesy call or send another message to request your confirmation status. If your reservation remains unconfirmed 2 business days in advance of your appointment, your reservation will be canceled.
I authorize Coolspa, David P. Rapaport, M.D., F.A.C.S., and any of its Associates/Providers to keep my credit card information on file and to charge this card for any outstanding balances.
My signature below indicates I have read, understand, and agree to the terms stated in this agreement.