By signing below I acknowledge and understand;
Missing a scheduled appointment without at least 24 hours notice WILL result in a no-show fee of $50.00, that will be due prior to your next sceduled appointment.
This no show fee will not be charged to your insurance company and will be the responsibility of the patient.
Arriving 10 minutes late for Behavioral Health appointments or 15 minutes late for MAT will count as a NO-SHOW, and fees will apply and will also result in rescheduling bades on scheduling availability. No medication or medication bridges will be provided until you are seen by a provider.
In accourdance with state and federals rules, Medicaid and Medicare insured patients will not be charged no-show fees, however 3 no-show appointments will be subject to immediate discharge from the practice.