Canceled or Missed Appointments Policy

A fee of $100 will be charged if any appointment with Dr. Shirani's dental office is broken within 24 hours of the actual appointment of failed altogether.

I understand the $100 is a minimal fee and multiple broken or failed appointments may result in the full fee of the appointment.

I am responsible for remembering appointments that I Make.

I understand emergencies arise and are taken into consideration, but I must still contact the office as soon as possible if the appointment can not be kept.

Appointment Confirmations

All dental appointments will be confirmed through text, e-mail, or phone. Please make sure that you keep all contact information up to date. Please follow the response instructions given in your text, e-mail, or phone message. Confirming your appointment is a guarantee for that time slot.


By signing below I am stating that I read and understand the above paragraphs under Canceled or Missed Appointments Policy and Appointment Confirmation.

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