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. We understand that unforeseen events happen that may prevent a patient from making his/her appointment; however patients will be charged a non-refundable $25.00 no-show fee after his/her second missed appointment. To avoid this fee, kindly call 24 hours prior and cancel or reschedule any appointment(s). As a courtesy, patients will receive a reminder phone call from our office the business day prior to his/her appointment. I have read the Patient Financial Policy and agree to abide by its terms. I authorize my insurance company to forward the Explanation of Benefits (EOB) and related payments to Xxxxxx X. Xxxx, M.D. Patient Signature Date INTERNAL MEDICINE GROUP OF TAMPA BAY ID# ***UPDATED OFFICE POLICIES*** Effective January 1, 2014 As part of our ongoing efforts to make your experience with us a pleasant one, and to ensure your continued satisfaction with our services, we have adopted some additional office policies. Please read carefully, and initial the following updates. Feel free to speak with our staff should you have any questions or concerns about these policies. Blood work is required before all physical exams. If a patient misses a pre- physical blood work appointment, their physical exam will be canceled, and will need to be rescheduled. Payment for any required insurance co-pay, self-pay charge, and/or any outstanding balance on a patient’s account will be required at time of visit. A $25.00 non refundable no show fee will be applied to the patient’s account for an appointment missed without a 24 hour notice to cancel. This fee is not covered by insurance. It is the sole responsibility of the patient. As a consideration to other patients, patients who are 20 minutes or more late for their appointment will be rescheduled to another time. All prescription requests require a minimum 24 hour turnaround time for processing. Thank you for your cooperation. We look forward to your continued care with us. Patient’s Name: Patient’s Signature: Date: Witness Signature: Date: _ INTERNAL MEDICINE GROUP OF TAMPA BAY ***INSURANCE COVERAGE NOTICE*** I, understand that the following may not be covered by my insurance; laboratory testing, including but not limited to Labcorp, Quest Diagnostics, ECG/EKG, vaccinations, and/or injection therapy. I understand I will be responsible for 100% of the billed cost for any of the above tests/procedures not covered by my insurance. I also understand that it is my responsibility as the patient, and the policy holder to cont...
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 $66.00 for a Late Cancelation fee. If you simply do not show up for your appointment, you will be charged a $66.00 No Show fee. You may leave a cancellation message 24 hours a day by calling (844) 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 $66.00. 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 appointments without notifying us in advance: a missed appointment fee will apply. These fees are typically $50.00 but not to exceed one-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 to other patients.
