Appointment Policy When completing counseling services, continuity is vital to success. Frequent cancellations or failing to schedule appointments can lead to delays between therapy sessions that may impede progress. As a mental health service provider, I try to assist in finding suitable times for us to meet for sessions. Our success is a joint effort; therefore, your cooperation in keeping appointments is critical to your success. I would like to outline for you the attendance policy for __________________. To schedule appointments, please call _______________. We require a minimum of 24 hours notice for changes or cancellations of appointments. If you do not cancel with a minimum of 24 hours, the patient is responsible for fees accrued. Please contact the clinic/therapist as soon as you are aware you need to cancel. (This is also within the minimum of 24 hours.) If you are late for an appointment, the appointment will still end at the scheduled time. If you cancel or do not show up for two consecutive appointments, you will receive notice that your session time may be made available to other patients. In this case, call the clinic to schedule a time suitable for you. I look forward to working with you. ______________________________________________________________ Professional’s name Date I have read and understand the above terms. All of my questions and concerns have been discussed. ______________________________________________________________ Printed Name ______________________________________________________________ Professional’s name Date
Appointment Policy When completing counseling services, continuity is vital to success. Frequent cancellations or failing to schedule appointments can lead to delays between therapy sessions that may impede progress. As a mental health service provider, I try to assist in finding suitable times for us to meet for sessions. Our success is a joint effort; therefore, your cooperation in keeping appointments is critical to your success. I would like to outline for you the attendance policy for __________________. To schedule appointments, please call _______________. We require a minimum of 24 hours notice for changes or cancellations of appointments. If you do not cancel with a minimum of 24 hours, the patient is responsible for fees accrued. Please contact the clinic/therapist as soon as you are aware you need to cancel. (This is also within the minimum of 24 hours.) If you are late for an appointment, the appointment will still end at the scheduled time. If you cancel or do not show up for two consecutive appointments, you will receive notice that your session time may be made available to other patients. In this case, call the clinic to schedule a time suitable for you. I look forward to working with you. ______________________________________________________________ Professional’s name Date I have read and understand the above terms. All of my questions and concerns have been discussed. ______________________________________________________________ Printed Name ______________________________________________________________ Professional’s name Date
12-Essential-Practice-Management-Forms-For-Therapists-v.2_jme_site.docx