Complete the form below to cancel or reschedule if you missed your appointment.

We realize that emergencies and other scheduling conflicts arise which are at times unavoidable. However, giving last minute notice or no notice at all prevents us from being able to schedule someone else into your now vacant time slot. Advance notification allows us the opportunity to fulfill other patient’s scheduling needs as well as helps negate any potential loss of revenue for the office.

In the past we have been more than accommodating but unfortunately it has become a necessary policy going forward. Most importantly is that this fee will directly offset the financial loss of your cancellation’s impact to the doctor or your therapist.

Therefore as of January 1st, 2019 missing, canceling, or rescheduling a confirmed appointment requires 24 hour notice to avoid a $35 cancellation fee.
Please note, this fee is not covered by insurance and is your responsibility.

Complete the form below.

We respect and value your time; please value ours.

  • Date Format: MM slash DD slash YYYY
  • :
  • This field is for validation purposes and should be left unchanged.