We require 2 business days notice for appointment changes or cancellations. Please note that our missed appointment, no show and late cancellation fee will be the fee for the full appointment. (i.e. less than 2 business days notice). If your 45 min appointment is on a Tuesday, please call on Friday to change the appointment. Otherwise, you will incur the 45 min consultation fee. When appointments are missed this forfeits an appointment spot that another patient could have used. We ask for your respect and understanding with this policy. While we do understand emergencies, snow storms, sudden deaths and illness (ie covid) providing us with an explanation is helpful as we recognize that on occasion, extenuating circumstances do arise.