No Show Policy - English

No Show Policy

Due to the high volume of no shows in the office, we have made some recent changes to our standard policies.

This policy has been updated to be fair to the patients that are in need of an appointment and cannot be seen due to an already booked schedule. Our goal is to provide quality eye care in a timely manner. No shows and late cancellations inconvenience those individuals who need access to timely medical care. This policy enables us to better utilize available appointments for our patients in need of eye care.

Appointment confirmations are done the day before an appointment via text message, email, and/or a phone call from a staff member. This allows for us to reach all patients by at least one means of communication. If a patient is unable to keep the appointment or must reschedule, we need to be given notice 24 hours prior to the office visit. Failure to give this notice or to be present at the time of the scheduled appointment without a call cancelling, will result in a $50 no show fee added to your account. This fee will be the responsibility of the patient, not the insurance company.

We understand that special unavoidable circumstances may cause you to cancel within 24 hours and in such instances, we will waive the fee upon management approval.

I have read and understand the NO SHOW POLICY listed above.

Patient/Parent/Guardian Name:

Staff Witness:


rats3898 none 8:00 AM -4:00 PM 8:00 AM -7:00 PM 8:00 AM -7:00 PM 8:00 AM -7:00 PM 8:00 AM -4:00 PM 8:00 AM -1:00 PM Closed optometrist # # #