Broken Appointment Policy

Broken Appointment Policy
We are committed to the highest quality of care for all of our patients; therefore, we schedule all appointments in advance and make every attempt to confirm them two days in advance. When we schedule your dental visit, that time belongs to you and you deserve our undivided attention.
We value out relationship with you and want to be fair. However, if you are unable to keep an appointment the following will apply:
- We require a 2-business day notice if you need to cancel or reschedule
- $50 broken appointment fee per patient without prior notification
- If you exceed three broken appointments within a 12-month period we will require a $50 deposit to hold your appointment time. (If you keep the appointment the deposit will be applied to your appointment and/or refunded if insurance covers it. If the appointment is broken you forfeit the deposit)
Our staff is dedicated personally and professionally, to give you the concern, respect and care that makes our office a comfortable place to visit. We ask that you please call if you can not keep your scheduled appointment time.

By signing below, you have read, and understand this agreement.
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