We clearly state our policy in our financial agreement that they sign as a new patient. This says that on a second no-show, there is a 25 dollar fee. All patients are called the day before to confirm their appointment. The first no-show they get a letter explaining the importance of keeping an appointment. I have duplicated this below. At the second they have a similar letter, with a notice about the fee due at their next visit. At the third no-show, they receive a discharge letter. Sometimes exceptions are made for circumstance, but most problem patients will repeat their pattern. Occasionally patients will self-discharge at seeing the 25 dollar fee. By discharge, they have had 3 reminder confirmation calls, three letters in the mail about the problem, and paid the fee at least once. They know it is a problem at this point. One way or another, this problem is quickly solved.
Dear Mr. Bill Gates,
You had an appointment today in my office. You did not show up for this appointment, and did not call to cancel and let us know you were not coming. We make every effort to be clear about your appointment time and we also call our patients the day before to confirm appointments. When you do not show up or cancel, we hold your spot until after the appointment time and another patient loses the opportunity to be seen. You have had 2 "No Show" appointments. There is a nominal $25 dollar fee for this that you will need to pay next visit.
Unfortunately, if this continues we will be unable to continue to provide you with care. We would regret losing you, so please help us continue to provide quality care for our patients by respecting our schedule and at least canceling ahead of time if you cannot make an appointment.
Thank you for trusting us with your medical care.
Sincerely,
Dr. Billy Bob Jones
