Attendance, Cancellation, Insurance and Payment Form
Attendance and participation in therapy along with complete compliance with any associated home programs, are essential for therapeutic success.
While iSpeak Therapy Services understands that illnesses and emergencies occur, we respectfully request that you avoid frequent cancellations or “no shows”. Please adhere to our following policy regarding providing our office with advance notification for any cancellations resulting from a conflicting appointment, vacation, obligations for work or family, or any other event.
All cancellations must be submitted 24 hours prior to your scheduled appointment, or your appointment is subject to cancellation.
A PDF copy of this Form will be sent to your Email Address.