Skip to Content
chevron-left chevron-right chevron-up chevron-right chevron-left arrow-back star phone quote checkbox-checked search wrench info shield play connection mobile coin-dollar spoon-knife ticket pushpin location gift fire feed bubbles home heart calendar price-tag credit-card clock envelop facebook instagram twitter youtube pinterest yelp google reddit linkedin envelope bbb pinterest homeadvisor angies

Dear Patient,

We understand that there are times when you must miss an appointment due to emergencies or obligations for work or family. However, when you do not call to cancel an appointment you may be preventing another patient from getting much needed treatment.
Conversely, the situation may arise where another patient fails to cancel and we are unable to schedule you for a visit, due to a seemingly “full” appointment schedule.

IF AN APPOINTMENT IS NOT CANCELLED AT LEAST 24 HOURS IN ADVANCE OR YOU NO SHOW TO AN APPOINTMENT, YOU WILL BE CHARGED A TWENTY-FIVE DOLLAR ($35) FEE; THIS WILL NOT BE COVERED BY YOUR INSURANCE COMPANY.

We understand that delays can happen, but we must try to keep the other patients and doctors on time. Therefore, if a patient arrives 15 minutes past their scheduled time, the appointment will be cancelled and rescheduled.

ACCOUNT BALANCES:

We will require that patients with balances do pay their account balances to zero (0) prior to receiving further services by our practice.

THANK YOU.

MM slash DD slash YYYY
Women