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Cancellation Policy


 

Cancellation Policy

Our goal is to provide quality individualized medical care in a timely manner. “No-shows”, and late cancellations inconvenience those individuals who need access to medical care and procedures in a timely manner. We would like to remind you of our office policy regarding missed appointments. This policy enables us to better utilize available appointments for our patients.

Cancellation of an Appointment

Please be courteous and call the office promptly if you are unable to show up for an appointment. This time will be reallocated to someone who is in need of treatment. If it is necessary to cancel your scheduled appointment, we require that you call at least 24 hours in advance. Appointments are in high demand, and your early cancellation will give another person the possibility to have access to needed appointments.

How to Cancel Your Appointment

To cancel appointments, please call 203-336-9862. If you do not reach the receptionist you may leave a detailed message on the voice mail. If you would like to reschedule your appointment, please leave your phone number. We will return your call and give you the next available appointment time.
Late Cancellations: A late cancellation is considered when a patient fails to cancel their scheduled appointment with a 24 hour advance notice.

No Show Policy

A “no-show” is someone who misses an appointment without cancelling it in an adequate manner. A failure to be present at the time of a scheduled appointment will be recorded as a “no-show”.

  • Missed appointment: $40.00 fee will be charged to your credit card on account.
  • Groupon or LivingSocial: No Shows are considered as a treatment redeemed or you can choose to pay the $ 40.00 missed appointment fee.

I have read the cancellation policy and accept the terms of the cancellation policy.

Signature:________________________________________________ Date:_____________________

Print Name:______________________________________________

Witness:_________________________________________________

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