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Office Policies

Our goal is to provide high quality care to our patients and respect their schedule as well. In fairness to other patients, and the office staff, we require advanced notice when changing or cancelling an appointment.

When you schedule an appointment, we reserve that time and prepare in anticipation of serving you. If you should need to reschedule, we kindly request that you contact us with 24 hours notice. We understand that conflicts arise; however failing your appointment or canceling without notice more than once will result in a charge of $50.00

Any patient who is late may be considered a "no show" for their appointment and may need to be rescheduled.

Patients who continue to no-show and/ or cancel without notice will be dismissed from the practice and asked to find another dental home.

Patient First Name

Patient Last Name

Date Of Birth

Patient/Legal Guardian Signature

Date