Patient Forms

 

 

Late Policy Statement:

We understand that unforeseen circumstances may result in the need to cancel or miss a scheduled appointment. We respectfully request that you notify us at least 24 hours prior to your appointment if you need to cancel. I understand that due to unforeseen circumstances, such as hazardous weather or illness, that sometimes this is not possible. Please be aware that if you fail to show for a scheduled appointment and we are unable to fill that slot, we reserve the right to charge you the full amount of the missed appointment.