No Show Policy/Late Cancellation

A No Show is when a patient does not show up for their scheduled appointment or notifying us they will not be attending their appointment. A Late Cancellation is when a patient notifies the office less than an hour before, at their scheduled time, or after their appointment time. This policy applies to 12 consecutive months.

  • 1st Occurrence- results in a reminder of our No Show/Late Cancellation Policy
  • 2nd Occurrence- results in a Warning Letter and a reminder of our No Show/Late Cancellation Policy
  • 3rd Occurrence- may result in Dismissal from our office.

*Suboxone Program appointments are subject to No Show/Late Cancellation fees and those fees due before further appointments are made.

These policies help the office provide quality care to our valued patients.
If you have any questions or need clarification of any of the above policies, please feel free to contact us.


I agree to abide by the policies of the office and understand that if I do not, I may be asked to seek care elsewhere.

Acknowledgement Signature Required on Demographic Form.

East Lincoln Family Health Professionals, PC. RESERVES THE RIGHT TO CHANGE AND/OR MODIFY THE INFORMATION ON THIS SITE AT ANY TIME.

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