Your appointment time is reserved just for you. A late cancellation or missed visit leaves a hole in the Nurses day that could have been filled by another patient. As such, we require 24 hours notice for any cancellations or changes to your appointment. Patients who provide less than 24 hours notice, or miss their appointment, will be charged a cancellation fee to the card on file (or at the next appointment) of 50% of the appointment fee that was missed. We thank you for your understanding.