Patient Information Form - Green Valley Ranch Medical Clinic & Urgent Care Page 5

Green Valley Ranch Medical & Urgent Care

No-Show Policy

Our No-Show Policy helps us better serve our patients trying to schedule appointments when we are

booked.

We would greatly appreciate a call from you if you cannot make your scheduled appointment or if you

will be late. Please call us at least 24 hours before your appointment time if you need to cancel. This

will enable us to give that time slot to another patient.

In the event that we do not hear from you and you do not show up for your appointment, there will be a

No-Show charge of $25.00.

Thank you for your cooperation.

I have read and understand the above Policy.

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Patient/Legal Guardian

Date

Green Valley Ranch Medical Clinic & Urgent Care

4809 Argonne St. Suite #100

Denver, CO 80249

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Parent category: Medical