Missed Appointments. From time to time it may be necessary for Landlord and Landlord’s authorized agents including, but not limited to, property management personnel, maintenance contractors, appraisers, and real estate agents to gain access to the Property for the purpose of inspecting the Property or performing repairs and Tenant does hereby grant permission to Landlord and Landlord’s authorized agents to enter the Property for these purposes. If Tenant fails to keep a pre-arranged, mutually agreed to appointment allowing access to the property then Tenant agrees to pay Eighty Five and No/100s Dollars ($85.00) per event as liquidated damages to Landlord and such amount shall become due as additional rent under this agreement.
Missed Appointments. We kindly request that you provide us with a minimum of 24 hours notice if you are unable to attend a scheduled appointment. Your advance notice helps us provide the best possible experience for all of our patients.
Missed Appointments. Participating Provider shall not xxxx, charge, collect a deposit from, seek compensation, remuneration or reimbursement from or have recourse against any Member or person acting on behalf of a Member for a missed appointment.
Missed Appointments. You must be at the Site at the agreed upon date and time for access to the location by the installation technician. If the installation technician arrives at the Site and there is no access, a missed appointment fee of $100.00 will be charged.
Missed Appointments. Initial I understand that I will be charged a penalty fee equivalent to Xxxxxxxxx Xxxxxx’x full session rate of $125 for an appointment not kept or not cancelled or changed with at least 24 hours notice. I also understand that this charge is not reimbursable by a third party payor.
Missed Appointments. The contractor shall implement policies and procedures and shall monitor its providers to provide follow up on missed appointments and referrals for problems identified through the EPSDT exams. Reasonable outreach shall be documented and must consist of: mailers, certified mail as necessary; use of MEDM system provided by the State; and contact with the Medicaid District Office (MDO), DDD, or DYFS regional offices in the case of DYFS enrollees to confirm addresses and/or to request assistance in locating an enrollee.
Missed Appointments. In the event that you are unable to keep a scheduled appointment, it is your responsibility to notify me with no less than 24-hour notice or you will be liable for the full session fee of $160. If your appointment is scheduled for a Monday, you must cancel before Sunday or the $160 fee applies. I collect payment and schedule your next appointment at the end of our 50-minute session. My fees for sessions and services are: • 50-minute Session $160 • Letter Writing on your behalf $90/30 minutes or $160/50 minutes. • Missed Appointment Fee Full Session Fee of scheduled session. • Cancellation less than 24-hour Full Session Fee of scheduled session. • Telephone Consult with you or With a third party (MD, Psychiatrist, Other therapist, case worker, etc…) No charge for first 10 minutes $60/15 minutes after. • Outside of session reading reports Assessments or other documents You or a third party send me. No charge for 10 minutes, $60/15 minutes thereafter. • Returned Check Fee $35 or Bank Fee if higher. Payment: You agree to pay the session fee in full at the end of each session as well as any other fees that are outstanding before another session may be scheduled. I accept a personal check, cash or Venmo only. Please have the exact amount as I will not be able to provide change. No credit cards are accepted. Checks are made out to: Xxxxxx X. Xxxxxx, MS, LPC. Client Signature: Date: Page 2 of 2-Fees and Financial Agreement Insurance: I do not work with insurance companies. Insurance companies require a client be assigned a mental health disorder diagnosis in or to be reimbursed for counseling services. This mental health disorder designation becomes part of your permanent health record and can be accessed by current and future employers, the insurance industry and other such entities that deem it necessary to have your personal health record. If you want to assume the risk, I will provide you a receipt that you may submit for possible reimbursement as an out-of-pocket provider if that benefit is part of your plan. I do not call or correspond with your insurance company or provide additional paperwork other than a receipt. You are responsible for payment in full at the end of each scheduled session. Agreement: By signing below, you indicate that you have read, understand and agree to the terms and conditions outlined in this Financial Agreement document (2 pages). Your signature also indicates that you have had the opportunity to ask questions and/or discuss any co...
Missed Appointments. Scheduling an appointment reserves a specific time for you. Therefore, appointments must be canceled at least 48 hours before the scheduled time unless a different agreement is reached. This gives us the opportunity to schedule someone else, as there may be a waiting list. If you do not give 48 hours’ notice you will be charged $75.00 for a Late Cancelation fee. If you simply do not show up for your appointment, you will be charged a $75.00 No Show fee. You may leave a cancellation message 24 hours a day by calling (000) 000-0000. Cancelation policies are standard in the mental health field and will be strictly enforced. On occasion, there will be understandable reasons for missing appointments, but exceptions to this policy will be rare. Not showing up to an appointment and not calling will ALWAYS result in a No Show fee of $75.00. If you will be late for an appointment, please notify the office ahead of time and if you are no later than 15 minutes, your appointment time will be held for you. After 15 minutes, you will be charged for a missed appointment. This will be considered a No Show and you will be charged a No Show fee of $66.00.
Missed Appointments. There is a full fee charge for appointments that are not cancelled 48 hours in advance of the scheduled session. This policy is standard for most psychotherapists and holds true regardless of the reason for cancellation. You may cancel a session by leaving a message via voicemail (571.483.0306), by email xxxxx@xxxxxxxxxxxxxxxx.xxx, or by talking with the therapist directly. You may leave a voicemail or email message any time of day or week.
Missed Appointments. We require notice of cancellation 24 hours in advance. This allows us to offer the appointment to another patient. If you fail to keep your appointment without notifying us in advance, a missed appointment fee will apply. These fees ate typically $35.00 but not to exceed half of the cost of your scheduled appointment. Repeated missed appointments without notification may cause you to be discharged from the practice so that we can provide care of other patients.
