APPOINTMENT AGREEMENT

A scheduled appointment is a commitment of time between you and our practice. We have reserved that time just for you. When appointments are missed or cancelled, that time is permanently lost.

We ask when you schedule an appointment that you make every effort to keep that commitment. We understand that personal emergencies sometimes occur, and we always take that into consideration when receiving a last-minute cancellation. If you find that you cannot keep your scheduled appointment, we ask you to provide a minimum of twenty-four hours notice to us so we may schedule another patient in need of treatment. For your convenience, we have an appointment secretary available Monday through Thursday, 8:00 to 4:00, as well as an answering machine to take messages after business hours.

It is our policy that with less than twenty-four hours notice on a change of commitment, a charge of $25 will be applied to your account.

If you have any questions regarding this policy please do not hesitate to contact us. We sincerely appreciate your understanding and cooperation with this matter.