No Show, Late, and Cancellation Policy

Description 

 

“No-Show” shall mean any patient who fails to arrive for a scheduled appointment. “Same Day Cancellation” shall mean any patient who cancels an appointment less than 24 hours before their scheduled appointment. “Late Arrival” shall mean any patient who arrives at the clinic more than 10 minutes after the expected arrival time for the scheduled appointment. 

 

Policy 

It is the policy of the practice to monitor and manage appointment no-shows and late cancellations. Medical Acupuncture’s goal is to provide excellent care to each patient in a timely manner. If it is necessary to cancel an appointment, patients are required to call or leave a message at least 24 hours before their appointment time. Notification allows the practice to better utilize appointments for other patients in need of prompt medical care. 

 

Fees

 

“No-show” will be subject to a $95.00 No Show fee 

“Same-day cancellation” will be subject to a $50.00 Late Cancellation Fee. 

"Late Arrival" which is rescheduled for another time or day will be subject to $50.00 Late Arrival fee.

It is your responsibility to pay these fees in full prior to scheduling your next appointment.    

 

Procedure 

 

I. A patient is notified of the appointment “No-Show, Late, & Cancellation Policy” at the time of scheduling. This policy can and will be

   provided in writing to patients at their request. 

 

II. Established patients: 

a. Appointment must be cancelled at least 24 hours prior to the scheduled appointment time.

b. In order to accommodate other patients whose appointments follow, in the event a patient arrives late as defined by “late arrival” to

    their appointment, their visit will not be extended and end at the allotted time. Out of respect and consideration for your physician and

    other patients please plan accordingly and be on time.

c. In the event a patient arrives late as defined by “late arrival” to their appointment, and cannot be seen by the provider on the same

    day, they will be rescheduled for a future clinic visit, if available. Late Arrival fee will apply.

d. In the event a patient has incurred two (2) documented “no-shows” and/or “same-day cancellations,” the patient may be subject to

    dismissal from Medical Acupuncture. The patient’s chart is reviewed and dismissals are determined by a physician only,

    no exceptions, in accordance with Medical Acupuncture guidelines. 

 

III. New patients: 

a. Appointment must be cancelled at least 24 hours prior to scheduled appointment time. 

b. In the event of a no-show, Medical Acupuncture may require a new referral sent from the referring physician and/or facility. 

c. In order to accommodate other patients whose appointments follow, in the event a patient arrives late as defined by “late arrival” to

    their appointment, their visit will not be extended and end at the allotted time. Out of respect and consideration for your physician and

    other patients please plan accordingly and be on time.

d. In the event a patient arrives late as defined by “late arrival” to their appointment, and cannot be seen by the provider on the same

    day, they will be rescheduled for a future clinic visit, if available. Late Arrival fee will apply. In addition, Medical Acupuncture reserves

    the right to request a new referral sent from the referring physician and/or facility. 

 

e. In the event of two (2) documented “no-shows” and/or “same-day cancellations,” the patient may be subject to dismissal from

    Medical Acupuncture. The patient’s chart is reviewed and dismissals are determined by a physician only, no exceptions, in accordance

    with Medical Acupuncture guidelines. 


 

Thank you for your understanding. We appreciate being able to care for you. We understand there can be special unavoidable circumstances which may cause you to cancel with short notice. Please let us know if this happens. In these instances the fee may be waived.