Dear Valued Patient:
To insure that we provide excellent patient service in a timely fashion, we have established a Cancellation Policy. This helps us to stay efficient in our practice, and also assists patients who are on our “wait list” to have their needs met as soon as possible. Please review the fees we charge for short notice of cancellations and no shows:
• Consultation / Follow-Up Appointment
Cancellations 48hrs or less (2 business days) before the appointment – $25 cancellation fee
Notification/no show – day of the scheduled appointment – $50 cancellation fee
• Diagnostic or follow-up ultrasound
Cancellations 48hr or less (2 business days) before scheduled exam – $50 cancellation fee
Notification/no show – day of the scheduled appointment – $100 cancellation fee
• Endovenous Ablation (Laser, RFA, VenaSeal, Varithena), and Microphlebectomies:
Cancellations 48hrs of less (2 business days) before the procedure – $150 cancellation fee
Notification/no show – day of the scheduled procedure – $300 cancellation fee
• Ultrasound Guided Sclerotherapy
Cancellations 48hr or less (2 business days) before the procedure – $50 cancellation fee
Notification/no show – day of the scheduled procedure – $150 cancellation fee
• Aesthetic procedures
(IPL, Botox/Dysport, Fillers, ThermiSmooth, VeinGogh/External Laser Microneedling)
Cancellation 48hr or less (2 business days) before the procedure – $50 cancellation fee
Notification/no show – day of the scheduled procedure – $100 cancellation fee
• Aesthetic procedures
(ThermiVa, SculpSure, Spider Vein Treatment, Hand Vein Treatment, Facial Vein Sclerotherapy)
Cancellations 48hr or less (2 business days) before the procedure – $50 cancellation fee
Notification/no show – day of the scheduled procedure – $300 cancellation fee
• Scheduled treatments on prepaid packages will result in a debit from the series if appointment is cancelled within 2 business days.
• All balances must be paid prior to scheduling any future appointments.
I have read, understand and accept the above policies. I agree to put my credit card on hold when scheduling my appointment. I am aware and understand that my card will be charged the appropriate fees outlined above in the event I do not notify the office in time to cancel or reschedule my procedure or if I do not show up for my procedure