Cancellations and No-shows Policy

This is the cancellations and no-shows policy for Kirk Integrative Physical Therapy. Before your first appointment with us, please complete and electronically sign this form and click Submit at the bottom when finished!

The following are our policies regarding cancellations and no-shows. We take this subject seriously at the clinic, because it can make the difference between whether you succeed in your treatment or not. Usually your referring doctor and/or your therapist have prescribed a set frequency of treatment. Showing up as scheduled for these visits is your most important job. Other than that, all you need to do is follow your therapist's instructions and we will be able to help you achieve your goals in treatment.

Cancellations

  • We require 24 hours’ notice in the event of a cancellation. It is your responsibility, when you call in, to have an alternative time in mind, preferably in the same week, that will ensure you get in the full prescribed number of treatments.

No-shows

  • A no-show is a missed appointment without notice!

Charges

  • Any cancellation less than 24 hours’ notice or no-show will be charged $180.
  • Full payment of the above charge is due at your next scheduled appointment.

When you don't show as scheduled, three people are hurt: You because you don't get the treatment you need as prescribed by the doctor and/or PT; the therapist who now has a space in their schedule since the time was reserved for you personally; and another patient who could have been scheduled for treatment if you had given proper notice.

Thank you for cooperating with us in this regard. We are looking forward to working with you!

By signing this form electronically and clicking "Submit," you are agreeing to the terms stated herein.

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