Cancellation Policy Cancellation Policy Please enable JavaScript in your browser to complete this form.SUMRAH JAN, LMFT Licensed Marriage and Family Therapist#97197 sumrahjan@gmail.com925-338-7526 CANCELLATION POLICY Your appointment time is reserved just for you. I hold your spot and do not schedule another client in that slot until I am given notice. When you are considerate regarding cancellations, I can schedule others who are waiting for an appointment. If you fail to cancel a scheduled appointment, I cannot use this time for another client and you will be billed for the entire cost of your missed appointment. A full session fee session is charged for missed appointments or cancellations with less than a 24-hour notice unless it is due to an emergency. Frequent cancellations and rescheduling due to schedule conflicts could result in loss of assigned appointment time at my discretion (more than once a month). No Show/Late If you are late by more than 15 minutes and have not called my cell phone to let me know that you are coming, I will consider you a “no-show” and you will be charged for the appointment. At that point I may leave my office. If you are running late, please let me know and I will wait until you get there. Fees will be charged for the full 50 minutes even if you are late. Appointments are often scheduled back-to-back and there will not usually be an opportunity to make up for lost time. I would prefer not to charge you for an unused appointment and will accommodate you to the best of my ability. If you are canceling or changing an appointment, please call my voicemail at (925) 338-7526. Email *Signature *Clear SignatureClient Signature (Client’s Parent/Guardian if under 18) Date *Submit