A1A Required Forms

A1A HMO plans

A1A Medicare Guidelines


No Show / Cancellation Policy

We will be implementing a no show and cancellation policy which enables us to better utilize available appointments which are in high demand. Please call us promptly if you are unable to attend an appointment as this time will give another patient the possibility to have access to timely care.

Patients who fail to show for their scheduled appointment or did not notify the office within 24 hours of their scheduled appointment time, shall be subject to a “No Show/Cancellation” fee of $30.00.

In the event of an actual emergency when prior notice could not be given, consideration will be given, and a one-‐time exception may be granted.

By accepting a new patient appointment, or an established patient follow-up appointment you are agreeing to this “No Show/Cancellation” policy. 

If you do not agree, please cancel your appointment immediately. If you do not cancel, you will be billed as outlined above. Late cancellation and “no show” charges must be paid before any further appointments will be made.