Appointment Cancellation


Appointment Cancellation Policy:

We strive to render excellent dental care to you and the rest of our patients. In an attempt to be consistent with this, we have an “Appointment Cancellation” Policy that allows us to schedule appointments for all patients. When an appointment is scheduled, that time has been set aside for you and when it is missed, that time cannot be used to treat another patient.

Our policy is as follows:

We require that you give our office 24 hour notice in the event that you need to reschedule your appointment. This allows for other patients to be scheduled into that appointment spot. If you miss an appointment without contacting our office within the required time, this is considered a missed appointment. A fee of $50.00 will be charged to you; this fee cannot be billed to your insurance

company and will be your direct responsibility. Additionally, if a patient is more than 15 minutes late without prior notification to the office, we will not be able to keep your appointment and therefore, this will be considered as a missed appointment, and subject to the $50 cancellation fee. We do understand that emergencies and sickness happen; please just notify us as soon as possible, so we can make alternate arrangements and get you rescheduled.

If you have any questions regarding this policy, please let our staff know and we will be glad to clarify any questions you have. We thank you for choosing Carolina Dentistry at the Stateline for all of your dental needs!

I have read and understand the Appointment Cancellation Policy of the practice:

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Signature Certificate
Document name: Appointment Cancellation
lock iconUnique Document ID: 85f6ee6b27807644027e551f11ac9ae313008360
Timestamp Audit
July 14, 2020 12:23 am EDTAppointment Cancellation Uploaded by Doctors Schwartz and Heidenreich - info@statelinedental.com IP 171.76.153.210
July 14, 2020 12:25 am EDTFront Desk - frontdesk.statelinedental@gmail.com added by Dr. Jim Schwartz - info@statelinedental.com as a CC'd Recipient Ip: 104.139.96.140
July 14, 2020 12:25 am EDTFront Desk - info@statelinedental.com added by Dr. Jim Schwartz - info@statelinedental.com as a CC'd Recipient Ip: 104.139.96.140
July 28, 2020 11:18 pm EDTFront Desk - frontdesk.statelinedental@gmail.com added by Dr. Jim Schwartz - info@statelinedental.com as a CC'd Recipient Ip: 104.139.111.211
July 28, 2020 11:18 pm EDTFront Desk - info@statelinedental.com added by Dr. Jim Schwartz - info@statelinedental.com as a CC'd Recipient Ip: 104.139.111.211
August 4, 2020 11:00 pm EDTFront Desk - frontdesk.statelinedental@gmail.com added by Dr. Jim Schwartz - info@statelinedental.com as a CC'd Recipient Ip: 104.139.111.211
August 4, 2020 11:00 pm EDTFront Desk - info@statelinedental.com added by Dr. Jim Schwartz - info@statelinedental.com as a CC'd Recipient Ip: 104.139.111.211
August 4, 2020 11:04 pm EDTFront Desk - frontdesk.statelinedental@gmail.com added by Dr. Jim Schwartz - info@statelinedental.com as a CC'd Recipient Ip: 104.139.111.211
August 4, 2020 11:04 pm EDTFront Desk - info@statelinedental.com added by Dr. Jim Schwartz - info@statelinedental.com as a CC'd Recipient Ip: 104.139.111.211
August 4, 2020 11:04 pm EDTDavid Levine - david@godentalbrands.com added by Dr. Jim Schwartz - info@statelinedental.com as a CC'd Recipient Ip: 104.139.111.211