PRESCRIPTION REFILL POLICY

1.) I will cancel a scheduled appointment at least 24 hours before the appointment. 

2.) I agree to pay a $50 No Show Fee for a scheduled appointment and confirmed

appointment.

3.) Allowances will be made for failing to keep my appointments due to unavoidable or reasonably.

4.) My provider may terminate my services if I do not cancel or fail to attend three scheduled appointments

5.) Should my provider terminate my services, they will send me a letter. This letter will explain a 30-day grace period that will be given to enable me to secure alternative services and will also allow prescription refills when medically appropriate for 30 days from the date of the termination of service letter.