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24 Hr. Cancellation | Holistic Questionaire | Master Program Contract | Master Program Trade Contract | Memorandum | One Hour Vacation | Only want One Session
Cancellation of your appointment must be received within 24-hours, and by 5:00pm during regular business days, prior to the appointment date.
If the client does not show up for the appointment, or does not call within 24 hours during normal business hours of his/or her appointment, he/she will still be billed full charge for the session or sessions or forfeit a pre-paid session that has been scheduled.
Suppose we decided not to work the day of your appointment. You leave work and drive 45 minutes to come for therapy and we have left the office without notification. You would lose approximately two to three hours of valuable time. This would not feel good to you. Once you have scheduled an appointment, that time is put aside for you. In essence, you have already paid for that time slot. We do have a waiting list and in the event that we are able to fill your cancellation, you will be exempt from paying the broken appointment charge.
I have read and agree to the above policies:
Signature __________________________________ Date: ________________
Print name: _____________________________________ Date:_____________
Return signed form via:
Fax: 916-485-6961 (call 1st to let me know you are faxing, or bring in with you)
Email: intenal_awareness@Yahoo.com
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