No-Show & Late Cancellation Policy
Review the policy details and provide your patient information, signature, and date.
No-Show & Late Cancellation Policy
Our Commitment to Your Care
We value your time and strive to provide the highest quality care for all our patients. To ensure that we can accommodate the scheduling needs of all individuals, we have established the following policy regarding missed appointments and late cancellations.
No-Show & Late Cancellation Policy
We require at least 24 hours’ notice to cancel or reschedule an appointment.
Failure to provide 24 hours’ notice, or not showing up for your scheduled appointment, will result in a $50 fee charged to your account.
This fee:
Is not covered by insurance and will be your responsibility to pay.
Must be paid before future appointments can be scheduled.
Will not be charged in the event of an emergency or extenuating circumstance (please contact our office if this applies).
Thank you for your understanding and cooperation.
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