MEDICAL APPOINTMENT, CANCELLATION, &  NO SHOW POLICY

Thank you for trusting your medical needs to Optimal Wellness Medical. When you schedule an
appointment with Dr. Lasater, he sets aside enough time to provide you with the highest quality care.

Should you need to cancel or reschedule an appointment please contact the office immediately.

Effective November 1, 2018:
Cancellation’s and Rescheduling Appointments:
Optimal Wellness Medical requires at least a 24-hour notice to cancel or reschedule an appointment.
Failure to do so may impose the following fine/penalty to the patient.

No Show Appointments:
Failure to call or contact the office to cancel or reschedule an appointment.

Established Patients:
Any established patient who cancels/reschedules an appointment less than 24 hours in advance may be charged a $50.00 fee. Any established patient who no-shows for an appointment may be charged a
$100.00 fee.Any fees charged to the patient must be paid prior to rescheduling.

New Patients:
There is a $100.00 deposit required to schedule a new patient appointment to see Dr. Lasater. The
deposit will be deducted from the cost of the consultation fee. Any new patient who
cancels/reschedules an appointment less than 24-hours in advanced may forfeit their deposit. Any new patient that no-shows for an appointment will lose their deposit and will have to pay the cost of the consultation in advanced prior to rescheduling another appointment.

As a courtesy, when time allows, we make reminder calls for appointments. If you do not receive a reminder call or message, the above Policy will remain in effect.

We understand there may be times when an unforeseen emergency occurs, and you may not be able to keep your scheduled appointment. If you should experience extenuating circumstances please contact our Office Manager, who may be able to waive the No Show fee. You may contact Optimal Wellness Medical at the number below. You may leave a message any time after business hours and on the weekend.

(616) 301-7390

I have read and understand the Medical Appointment/Cancellation/No Show Policy and agree to its terms.

Thanks for submitting!