Late Cancel. No Show Policy Effective May 1, 2014 Please take a moment to read this notice. Because of the high demand for psychology appointments in our office, there are special rules that apply to these appointments: • Psychology appointments (initial evaluations / ADHD evaluations / counseling appointments) require at least 48 hours notice if you need to cancel an appointment with one of our psychologists. • If any appointment is canceled with less than 48 hours notice prior to the scheduled appointment time, or if you do not show up for a scheduled appointment, there will be an $85 fee for that missed appointment. I have read the above information and agree to make payment if required. Patient Name Date of Birth Signature of patient, if 18 years or older Date Signature of parent/guardian Date
Late Cancel. This is when a notice of ride cancelation from The Client or the student’s guardian occurs less than (2) hours from the scheduled ride’s start time. Rides, where a No-Show or Late Cancel occurs, are invoiced at the full normal rate. Possible Protocols for No-Shows If a morning single rider No-Show occurs, The Client will be invoiced for the morning ride, and the afternoon ride will remain scheduled unless ADROIT is notified by The Client or the student’s guardian to cancel the afternoon ride within the early cancel window. If a morning No-Show occurs for one student in a multi-passenger ride, the afternoon ride always remains scheduled. Permanent Student Transportation Cancelation The Client may cancel transportation for a student permanently by contacting ADROIT. If the student is a single rider, the route will be removed entirely, and the partner (driver) then becomes immediately available to service other routes. If the * student was transported with other passengers, then they will be removed from the route, and the student’s spot will become available and may be replaced with a different student, if available, to consolidate routes. Temporary Student Transportation Cancelation The Client may cancel transportation for a student temporarily for several days by contacting ADROIT. Because this is a temporary change, the students are not replaced on the route, and their space on the route is reserved for their return. If the student is a single rider and the student is canceled temporarily, no charges will be assessed. When canceling temporarily the pick-up/drop-off for a student who is part of a multi-passenger ride, The Client will be charged the normal ride rate. It is The Client’s responsibility to communicate to ADROIT changes to schedules, calendars, and transportation requests in a timely manner. Multi-Client Invoicing Should The Client choose to share rides with a neighboring client that is also under contract with ADROIT, the shared ride will be prorated and invoiced according to the following explanation: Proration of Ride Fees - ADROIT’s Charging Process 1. Client Standard Rides Each client’s students are routed as standard (stand-alone) rides, and client-specific pricing is applied. ● Example: Client A has two students whose ride costs $90 (Ride 1) District B has a single student whose ride costs $100 (Ride 2) 2. Multi-Client Rides All the students from the participating clients, as identified above, are combined into the most cost-effective ri...
