The fee for missed appointments and cancelled appointments with less than a 24 hour notice will be $60. The fee for missed appointments for testing will be $100.
The purpose of this section is to coordinate with your primary care physician to ensure we are able to provide the most effective standard of care.
This consent shall expire one (1) year from the date of signature. I understand I may revoke my consent in writing at any time except to the extent that action has already been taken in reliance on it.