Appointment Cancellation/No Show Office Policy Agreement
Thank you for trusting your dental care to Advanced Dental Health! When you schedule your appointment with Advanced Dental Health, we set aside time just for you to provide the highest quality dental care! Should you need to cancel or reschedule an appointment, please contact our office as soon as possible, but no later than by noon 2 business days (not including Fridays because our office is closed) prior to the appointment. This gives us time to schedule other patients who may be waiting for an appointment.
Please see our Appointment Cancellation/No Show Policy Below:
Any established patient who fails to show or cancel/reschedule an appointment and has not contacted our office with at least 2 business days notice will be charged $125/hour scheduled with our hygiene department and $250/hour scheduled with our doctors. Same-day cancellations and same day reschedules will be processed as a no show.
If the patient has two No-Show or cancellation/reschedule occurrences without at least 2 business days notice, the patient will be dismissed as a patient from Advanced Dental Health.
The no show/same day cancellation fee is charged to the patient, not the insurance company, and is due prior to rescheduling any future appointments at Advanced Dental Health.
New patients that fail to show up for their first appointment may not be rescheduled for their visit without extenuating circumstances for missing their visit.
As a courtesy, reminder calls/messages are made in the form of an email, text and phone call if we are unable to reach you by one of the previous methods. It is always your responsibility to make sure that you have your appointments in your calendar and to keep a reminder for your upcoming appointments, our reminder system is simply a courtesy provided to you. Even if you do not receive a reminder, the above policy will remain in effect.
We understand there may be times when an unforeseen emergency occurs, any you may not be able to keep your scheduled appointment. If you should experience extenuating circumstances, please contact our Office Manager to discuss options.
By signing this form, you acknowledge that you are aware of this policy and understand your responsivities. If you are a parent/guardian, you acknowledge you are signing on behalf of your family.