Appointment Cancellations. Therapy is a commitment. It is a collaborative relationship where each of us has a responsibility to the process, and it’s important for your healing and the therapeutic process that you attend your sessions regularly. I will reserve and hold a one hour weekly time slot for us to meet. This means that we will meet at a set time each week unless you cancel your appointment. I understand that unforeseen events can sometimes prevent you from attending your prearranged appointment time. If you wish to cancel or re- schedule an appointment, two days (specifically 48 hours) notice will need to be given. If you cancel or don’t show up for an appointment with less than 48 hours notice you will be responsible for full payment of the session. If you are running late for your appointment you can call me at (000)000-0000 to let me know of your expected arrival time. I will wait 15 minutes after your scheduled appointment time. If I do not hear from you, your appointment time will be forfeited and you will be charged the full session fee. TELEPHONE CALLS: Telephone messages can be left at (000)000-0000. I will attempt to return your call within a few hours. No charge will be made for short calls; however, you will be charged for lengthy phone sessions. In the unlikely event that you cannot reach me, and your call is a serious medical emergency, please call 911, or visit your local emergency room.
Appointment Cancellations. I agree to pay for missed appointments unless the appointment is cancelled at least 24 hours in advance. If I have Medicaid insurance only, I will not be charged.
Appointment Cancellations. My fees are based on the time I commit to work with you in sessions and time for documentation. Any scheduled session not cancelled 24 hours in advance will be charged a fee of $75, to account for the lost appointment time. You may cancel by leaving a message on my cell phone number, (000)000-0000, which will time- stamp your message, or via text message or email (xxxxx@xxxxxxxxxxxxx.xxx). As well, a $75 fee will be charged if you miss an appointment and give no notice of cancellation.
Appointment Cancellations. Fees are based on the time we commit to work with you in sessions. To keep client fees low, any scheduled session not cancelled 24 hours in advance will be charged the established fee of $75.
Appointment Cancellations. The Team Member will try his or her best to honor Service Hour rescheduling requests made at least 24 hours in advance, at a time that is mutually convenient. When a cancellation or rescheduling request occurs within the last 24 hours before an appointment, 30 minutes of time may be deducted from the Service Term’s hours, or charged the normal hourly rate.
Appointment Cancellations. The Team Member will try their best to honor Service Hour rescheduling requests made at least 24 hours in advance, at a time that is mutually convenient. When a cancellation or rescheduling request occurs within the 24 hours before an appointment, 30 minutes of time may be deducted from the Service Term’s hours, or charged at the normal hourly rate. If the Client wishes to avoid the 30-minute penalty, the Client is welcome to gift their appointment time to someone else. All hours are fully transferable to others upon request by the Client. Personal Shopping, Researching, and Device Repairs: One of the services offered by a Team Member is researching and gathering estimates to repair or purchase equipment ore services on the Client’s behalf. By asking the Team Member to perform these services, the Client agrees that the time spent shopping, researching, transporting Client equipment, or traveling to and from any location (such as a repair or retail shop) will be deducted from the Service Term’s hours, or charged the normal hourly rate. If The Company or any Team Member is purchasing any item for the Client (including computer parts), they will be invoiced for the cost of the item plus a 30% markup. Monitoring Limitations: If the Client purchases Monitoring, the Company will alert the Client regarding any issues deemed critical, based on our professional judgement. Because the monitoring software is not created or maintained by the Company, the Company cannot assume responsibility for any missed malware, viruses, or system failures the Monitoring does not detect. We also are not responsible for alert emails that are misdirected or do not reach the Client. Refunds, Expiration, Holds and Service Term Cancellations: Refunds will not be issued. All services and discounts are determined on the first day of the Service Term (the date on this signed Agreement). If the Client fails to make any and/or all payments on time and in full during their Service Term, the Company will invoice the Client for all one-on-one hours and Monitoring services accrued to date at the full and non-discounted rates, which the Client agrees to pay upon receipt. Service Hours are fully transferrable, however all hours expire at the end of their Service Term. Clients may extend their date on expiring hours by renewing or upgrading the Service Term subscription within Fourteen (14) days of the expiration date. The expiring hours will then “roll over” into the new Service Term with a new exp...
Appointment Cancellations. We understand that sometimes plans change. We ask that you reschedule appointments at least 24 hours in advance so that we may give that time to someone else. Although unexpected events may necessitate missing an appointment, if you miss 2 appointments without following the cancellation protocol then you will be charged $40.00. If you miss 3 appointments without following the cancellation protocol, you may be dismissed from the practice. You will receive a written notification if you miss 2 appointments. If you miss your first appointment, you may be prohibited from rescheduling.
Appointment Cancellations. Your appointment has been reserved specifically for you. If you are unable to keep you appointment, please call at least 24 hours in advance or you will be charged the full fee for the session, unless there are circumstances beyond your control that kept you from canceling. Clients who are 20 minutes late for their session may be asked to reschedule their appointment and be charged for the session time.
Appointment Cancellations. It is our desire to provide you with the best possible attention and care. For this reason we do not double book your appointments. Xxxxx Chiropractic requires 24-hour notice for cancellations. This will enable us to offer the time to other patients. Payment in full will be required if the patient does not provide timely cancellation notice. Payment Services, generally, are covered by majority insurance companies, therefore Xxxxx Chiropractic & Acupuncture does not submit to any insurance. However, upon request, an itemized statement can be provided for personal submission. Payment is required at the time of visit. We accept the following forms of payment. Apple Pay / Android Pay VISA/ MC American Express Discover Health Savings Accounts, Cash and *Personal Checks * Patient account will be charged for any bank fee charged for If a personal check is dishonored checks. I have read, understand, agree and will comply with all the above policies of Xxxxx Chiropractic & Acupuncture. Date Patient signature Consent for treatment of a minor I (we) being parent(s), guardian(s), custodian(s) of A minor, the age of with date of birth of , do hereby authorize, request and direct the Doctors of Xxxxx Chiropractic and/or other providers to perform in her/his judgement and necessary exams, recommended treatments for minors condition.
Appointment Cancellations. We understand that sometimes, you may need to reschedule or cancel your appointment but we request that you provide at least 24 hours’ notice prior to your scheduled appointment. Appointments are in high demand, and your advanced notice means another client can access that appointment time. If you need to cancel or reschedule your appointment, call us on 0000 000 000 or send an email to xxxxxxxxxxxxxxxxxx@xxxxx.xxx.
