“No-show” Policy Form

When you schedule an appointment, we set aside enough time for the physician to
provide you with the highest quality care. If you need to cancel an appointment,
please contact our office no later than 24 hours before your scheduled appointment.
This gives us ample time to schedule another patient seeking medical care.
 
Effective April 15, 2018, patients who do not show up for a scheduled appointment
and who have not contacted our office 24 hours before the appointment will be
considered a “No-Show” and charged a $35.00 fee.
 
This fee is charged to the patient, not the insurance company, and is due at the time
of the patient’s next office visit.
 
Patients with two “No-Show” visits will receive a letter with a copy of our
“No-Show” policy. If there is an additional “No-Show”, we may not be able to
schedule further appointments.
 
We realize circumstances are subject to change at a moment’s notice. If you were
unable to make a scheduled appointment, please contact our Practice Administrator
at (210) 829-8770 who may be able to waive the “No-Show” fee.