In-clinic booked, scheduled, or online appointment requests, including same day requests, are committed appointments. All appointments missed or without 24 hour prior notice will be charged a missed appointment fee of $50.00 or $75.00 for missed procedure visit. Please be sure to call and leave voice message, or reply to the automated reminder texts or emails during office hours to cancel your appointment without fee. Communicating appointment cancellation or reschedule during off hours (for example 8:00PM, midnight, 2:00AM, etc.) does not count as providing advance notice.