We require 24 hours notice for any appointment cancellations. Any patients cancelling appointments with less than 24 hours notice will be subject to missed appointment fees. Any patient who does not show up for a scheduled appointment, or who shows up over 15 minutes after the appointment start time, will also be subject to missed appointment fees. Receptionists are trained to notify patients about missed appointment fees when they are placed on file. Please do not complain or harass the receptionists about missed appointment fees, as they have no authority to modify or remove them. Instead, if there was an emergency extenuating circumstance that led to a missed appointment, then the patient may choose to wait until their next appointment to speak with their physician about the fee. Examples of valid emergencies include going to the emergency department, family emergencies, car accident, extreme weather, etc. Routine traffic and unexpected work duties are not considered emergencies. We ask that patients book their appointments with ample time to travel to the clinic and not at a time that they may be called in to work.