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Ment to all of our patients, it is the policy of this office that all appointment cancellations are made at least 24 hours prior to your scheduled appointment time. If an appointment is not cancelled or patient fails to show up for appointment, Chiropractic Wellness Center reserves the right to charge patient a $25 fee per occurrence. As this fee is not billed to any insurance company, patient accepts full responsibility to pay this fee. If you have any questions about this form, please talk to .

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Keywords relevant to Chiropractic Wellness Center No Call/No Show Form

  • Wellness
  • billed
  • occurrence
  • reserves
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