1250 SE Maynard Road, Ste. 204
Cary, NC 27511


Ph: 919-371-4378
Fax 919-300-7943

www.slteletherapy.com

 
Cancelation, Late Arrival and No-Show Office Policy
As your therapist it is my desire to be effective and fair to all my clients and out of consideration for my time, I have adopted the following policies regarding clients canceling or arriving late for sessions:

Cancellations:
Twenty-four (24) hour advance notice is required when canceling an appointment.  This allows the opportunity for someone else to schedule an appointment with me.  I understand that unanticipated events happen occasionally in everyone’s life such as business meetings, project deadlines, flight delays, car problems, snowstorms, and illness.  These are just a few of the reasons why one might consider canceling an appointment or not showing up.  I will do my best to be flexible with you and know that you will respect my time as well.

Important:
If you are unable to give me 24 hours advance notice, you will be charged $40.00 for your missed appointment as it will be considered a no-show. 

Forgotten appointments:
Anyone who either forgets or consciously chooses to forgo their appointment for whatever reason, will be charged for their missed appointment/no-show.  If this is a repeated occurrence, as your Therapist, I will discuss with you whether I am a good fit for you or if Therapy is appropriate for you at this time.

Arriving Late:
Appointment times have been arranged specifically for you based on your availability.  If you arrive late, your session may be shortened to accommodate others whose appointments follow yours.  Depending on how late you arrive, I will then determine if there is enough time remaining to start a session or if we need to reschedule.  Regardless of the length of the session time left, you will be responsible for the ‘full’ session fee.  Please sign below to indicate that you have read and understand the above policies.

Please sign below to indicate that you have read and understand the above policies.
 
Signature Instructions:
Touch Screen: use finger or stylus to sign
Desktop Monitor: use mouse or touchpad to sign

Therapist Name and Signature:



Date: