Appointment and Procedure Cancellation and No Show Policy

Click here to read the full policy

Patients who cancel or reschedule an appointment with less than 24 hours notice will be assessed a fee of $50.
*For Monday appointments, cancellations/rescheduling must be done by 12pm the preceding Friday.

Patients who cancel or reschedule a procedure with less than 48-hour notice will be assessed a fee of $100.
*For Monday procedures, cancellations/rescheduling must be done by 12pm the preceding Thursday.

If you are unable to call the office, you may use the form under Contact Us to cancel or reschedule your appointment or procedure. You must still adhere to the time frames above.

Release Medical Records

Authorization To Release Medical Info to DDA 
Consent For Release of Medical Information

To print the forms above, you will need Adobe Reader.  You may download Adobe Reader for free at www.adobe.com.