Thank you for choosing Bayside Pediatric Therapy. We are committed to not just delivering a therapeutic visit for your child, but truly transforming their milestones and goals. We believe in transparency as it is the key to creating authentic relationships for all we serve. You have a choice in picking your therapeutic provider and we value your choice. With that being said, we want to ensure that you understand the reason why we have a strict attendance policy and why we must hold each patient accountable with no subjective flexibility. Please do not sign this policy unless you are in full agreement and understand that this is non-negotiable. Failure to follow our attendance policy will result in cancellation charges and may lead to discharge as a result of patient non-compliance.
Based on our clinical expectations and commitment to delivering clinical outcomes, your child’s attendance and continuity of care are truly critical and essential. We appreciate you understanding that we are a small clinician owned business and are doing everything we can to support our community. Last minute cancellations not only impact our practice but also impact your child’s progress, as well our clinical team feeling confident in continuing to support your child’s treatment plan. We appreciate your understanding that we are making financial investment to support your schedule and when you cancel in less than 24 hours it creates financial hardship on your therapist and our organization as a whole. As a healthcare provider, we are a fee for service entity and when your cancellation occurs at the last minute, we are not able to fill your appointment slot putting our stability as an organization in jeopardy. Stability of appointments and advanced cancellation notice is a necessity to continue to receive care within our organization
We want to provide the best possible services to all of our patients. We will do our best to schedule appointments that meet your needs. Regular attendance is a requirement as well as advanced notice of any cancellations or changes in schedule. We ask that you follow the attendance policies outlined below:
1. Less Than 24 Hour Cancellations: Please call us at least 24 hours in advance tocancel your appointment. You MUST notify the front desk, not your therapist. We reserve the right to charge a $50 fee directly to your credit card on file, if you do not give us 24 hours’ notice. Insurance will not cover this fee.If you agree to do teletherapy or a “make-up” appointment is available in the next 4 days, this will be waived. You are allowed 3 same day cancels within 6 months. Please initial you are in agreement with this cancellation expectation and the financial implications of your actions:_______