Missed Appointment Agreement Sample Contracts

Missed Appointment Agreement
Missed Appointment Agreement • June 20th, 2022

As a Healthe Clinic member I will make every effort to appear at my scheduled appointment time. I understand that if I miss an appointment without cancelling prior to the scheduled time or if I am more than 10 minutes late I will be considered a “no-show”. After three missed appointments, I will be charged

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Missed Appointment Agreement
Missed Appointment Agreement • September 26th, 2022

Thank you for choosing Triad Pediatrics for your child’s health care needs. Caring for your child in an efficient, compassionate manner is of the utmost importance to us. Scheduling around individual’s needs and work schedules can be difficult and we do our best to see patients when they need to be seen. A scheduled appointment is a time that we set aside specifically for you. When appointments are missed or cancelled on short notice, that time is permanently lost. We want to honor our valuable patients by minimizing the time they spend waiting for an appointment. If necessary, we request that you call to cancel or reschedule your appointment at least 24 hours before the scheduled appointment time. In order to offset the cost associated with missed appointments, a $25 fee will be charged to your account. In the case of an unexpected emergency, you may call our practice to reschedule without the $25 fee. This may include appointments missed due to illness, adverse weather conditions or

LATE and/or MISSED APPOINTMENT AGREEMENT
Missed Appointment Agreement • August 20th, 2020

Thank you for choosing Park Chiropractic for your chiropractic care. Trying to accommodate every patient’s individual needs and work schedules can be difficult, but we always try to do our best. We work extremely hard to stay on schedule so that our valuable patients will not spend time in our reception area waiting for an appointment.

Missed Appointment Agreement
Missed Appointment Agreement • July 7th, 2017

We make every effort to value your time and we reserve your appointment time just for you. We ask when you reserve an appointment that you make every effort to keep that commitment. We understand that personal emergencies occasionally occur, an we always take that into consideration when receiving a last minute cancellation. The criteria for a less than 24-hour cancellation fee to be waived are limited to incidents such as a car accident, injury or death.

Missed Appointment Agreement
Missed Appointment Agreement • October 4th, 2021

Thank you for choosing Advanced Internal Medicine Practice LLC. for your primary care needs. We work hard to stay on schedule so that our valuable patients do not spend their time in our reception area waiting on an appointment. A scheduled appointment between our office and you as the patient is a commitment of time, time set aside to discuss your needs. When an appointment is missed or cancelled our time is permanently lost. We ask when you schedule an appointment you make every effort to keep that commitment. We do understand that emergencies do occur, and we take that into consideration if an appointment needs to be cancelled or rescheduled without a 24-hour notice. In order to provide the highest quality of services possible, we have established a missed appointment policy. Please review the policy below and sign that you have read and understood this agreement.

Missed Appointment Agreement
Missed Appointment Agreement • June 11th, 2020

We respectfully ask that you provide us with a 24-hour notice of any cancellation request. Please understand that when you cancel or miss your appointment without providing 24- hour notice we are often unable to fill that appointment time. This is an inconvenience to your doctor and other patients miss the chance to receive service they need. For this reason, you will be responsible for a fee of $30.00 for any missed appointments without proper notice. The bill will be mailed to you. Cancellation within 24-hours due to emergency, illness, or bad weather will not result in any fee’s.

Missed Appointment Agreement
Missed Appointment Agreement • January 14th, 2021

Thank you for choosing Advanced Internal Medicine Practice LLC. for your primary care needs. We work hard to stay on schedule so that our valuable patients do not spend their time in our reception area waiting on an appointment. A scheduled appointment between our office and you as the patient is a commitment of time, time set aside to discuss your needs. When an appointment is missed or cancelled our time is permanently lost. We ask when you schedule an appointment you make every effort to keep that commitment. We do understand that emergencies do occur, and we take that into consideration if an appointment needs to be cancelled or rescheduled without a 24-hour notice. In order to provide the highest quality of services possible, we have established a missed appointment policy. Please review the policy below and sign that you have read and understood this agreement.

MISSED APPOINTMENT AGREEMENT
Missed Appointment Agreement • July 11th, 2018

Thank you for trusting your medical care to Summit Medical Group. We work diligently to maintain a high level of professional and personalized service and strive to accommodate our patient’s need for office visits in a timely manner. When a patient cancels an appointment without adequate notice or fails to keep an appointment, we cannot use that time to serve the needs of other patients.

MISSED APPOINTMENT AGREEMENT
Missed Appointment Agreement • March 27th, 2021

In todays hectic world unplanned issues come up for all of us. We recognize this fact, but we respectfully request that you cancel your scheduled appointment a minimum of 24 hours in advance. That way the open slot can be filled with someone needing an appointment.

MISSED APPOINTMENT AGREEMENT
Missed Appointment Agreement • July 27th, 2020

In order to serve you better and keep the cost of dental care down, we try to maintain an efficient appointment system. However, our cost of providing care increases greatly when patients fail to keep scheduled appointments or cancel at the last minute.

MISSED APPOINTMENT AGREEMENT FOR GREG A. PERRY DDS AND ASSOCIATES FAMILY DENTAL CARE
Missed Appointment Agreement • August 17th, 2016

We truly appreciate your courtesy of giving us 48 hours notice if you have a conflict with your appointment and need to schedule a different day or time. We are committed to your oral health and keeping your scheduled appointments allows us to be partners in your dental care.

Littleton Dental Studio Missed Appointment Agreement
Missed Appointment Agreement • June 7th, 2019

We value you as our patient and need your cooperation with keeping appointments so that we can provide your care. Missing or late canceling an appointment means we are unable to fill this appointment time with another patient who desperately needs care. Additionally, as an individually owned small business, we are unable to recoup lost compensation for our service, which is what keeps our doors open and pays our staff.

Missed Appointment Agreement
Missed Appointment Agreement • March 6th, 2019

As a Healthe Clinic member I will make every effort to appear at my scheduled appointment time. I understand that if I miss an appointment without cancelling prior to the scheduled time or if I am more than 10 minutes late I will be considered a “no-show”. After three missed appointments, I will be charged

Missed Appointment Agreement
Missed Appointment Agreement • July 2nd, 2018

Thank you for trusting your medical care to Summit Medical Group. We work diligently to maintain a high level of professional and personalized service. We strive to accommodate our patient’s need for office visits in a timely manner. When a patient cancels an appointment without adequate notice, or simply fails to keep an appointment, we cannot use that time to serve the needs of other patients.

Missed Appointment Agreement
Missed Appointment Agreement • October 28th, 2019

Thank you for choosing Advanced Internal Medicine Practice LLC. for your primary care needs. We work hard to stay on schedule so that our valuable patients do not spend their time in our reception area waiting on an appointment. A scheduled appointment between our office and you as the patient is a commitment of time, time set aside to discuss your needs. When an appointment is missed or cancelled our time is permanently lost. We ask when you schedule an appointment you make every effort to keep that commitment. We do understand that emergencies do occur, and we take that into consideration if an appointment needs to be cancelled or rescheduled without a 24-hour notice. In order to provide the highest quality of services possible, we have established a missed appointment policy. Please review the policy below and sign that you have read and understood this agreement.

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