"No Show" Policy Acknowledgement - Main Peds Logo
  • "No Show" Policy Acknowledgement

  • As stated in the Financial Policy, Medical Health Associates has a "no show" policy.

    A patient will be considered a "no show" if an appointment is missed or canceled with less than 24 hours notice. When this occurs, our facility loses the opportunity to care for other patients who wish to be seen.

    If 24 hours notice is not received, a fee of $50.00 will be charged to your account. This fee is not covered by insurance and is, therefore, the sole responsibility of the patient. 

  • I, {responsiblePartys}, understand and acknowledge that Medical Health Associates has a policy to charge me a $50.00 fee if I fail to show up for a scheduled appointment.

    I agree to pay this fee if necessary and understand I will be unable to schedule future appointments until the fee is paid. It is, therefore, my responsibility to keep track of the appointments I schedule, and it is not the facility's job to notify me of upcoming appointments.

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