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Appointment Confirmation

This form is to confirm your appointment with us and to affirm you understand that once confirmed, you understand that there is a charge for missing or changing the appointment without at least a 24 hour notice, even if there is less than 24 hours until the appointment time, and that you agree to that policy. Without this confirmation, we will not hold a set appointment time for you although you may still be seen on a "walk in" basis at a slightly higher fee.