Appointment Cancellation and Confirmation Policy

Cancellation/Broken Appointment

We understand that emergencies such as unexpected illness and bad weather may occur, and will consider rescheduling a missed appointment on a case-by-case basis. We kindly ask our patients to give us 48-hours' notice whenever possible if they cannot keep an appointment. This allows us time to fill the schedule with other patients who may be waiting.

We allow a 15-minute grace period to our patients. Please be aware that any arrival following this grace period may result in a $75.00 last minute cancellation charge. If you believe there is a chance you may be late for an appointment, please notify us as soon as possible.

Appointments Scheduled for 30-minutes to 120-minutes

1. Cancellation or rescheduling of an appointment within 48 hours or more - No Charge
2. Failure to give 24-hour advance notice:
• First canceled appointment within a 12-month period - No Charge
• Two or more canceled appointments within a 12-month period - Fee of $75.00
3. Failure to arrive at a scheduled appointment without any prior notice - Fee of $75.00
4. or families who have scheduled together on a given day and missed their appointments without prior notice: the cancellation fee of $75.00 will apply to each individual, and more than two family members will no longer be allowed to schedule their appointments for the same day

Appointments Scheduled for 120-minutes or More:

A deposit of 30% of the overall treatment cost will be required at the time of scheduling

1. Cancellation or rescheduling of an appointment within 48 hours or more - No Charge
2. Failure to give 24-hour advance notice - your deposit will not be refunded nor will it be eligible for use as a future credit, plus there will be a fee of $75.00
3. Failure to arrive at a scheduled appointment without any prior notice - your deposit will not be refunded nor will it be eligible for use as a future credit, plus there will be a fee of $75.00

Confirmation

Our primary concern is our patients’ dental health and providing services in a timely manner is critical to accomplish that goal. Please ensure we have your current phone number and e-mail address on file so you may receive your appointment reminders. If you have not replied to our attempts for appointment confirmation, we will have no choice but to remove your appointment from our schedule. We appreciate your understanding regarding our policy. If you have any questions or concerns, please do not hesitate to contact us.

By signing this form, I acknowledge that I have been given the opportunity to ask any and all questions regarding the nature and purpose of this policy, and have received all answers to my satisfaction. The fee(s) related to this policy have been explained to me and are satisfactory.