Cancellation and Non-Attendance Policy
We understand that unforeseen circumstances may arise, requiring you to cancel or miss a scheduled appointment. To ensure smooth operations and respect for everyone’s time, please note the following policy:
Cancellation Notice:
Please provide at least 24 hours’ notice if you need to cancel or reschedule an appointment.
Cancellations made less than 24 hours in advance may incur a cancellation fee of [insert amount or percentage].
Non-Attendance:
If you do not attend a scheduled session without prior notice, this will be considered a missed appointment.
Missed appointments may also incur a fee of [insert amount or percentage], unless due to emergency circumstances.
Contact for Cancellations:
To cancel or reschedule, please contact [insert contact method: phone number, email, etc.].
By signing this form, you acknowledge that you understand and agree to the cancellation and non-attendance policy.
Client Name: _____________
Client Signature: __________
Date: __________________
Counselor Name: _________
Counselor Signature: ______
Date: __________________