Patient Information Update

Dr. Peggy Myers is committed to providing all of our patients with exceptional care. When a patient cancels without giving enough notice, they prevent another patient from being seen. We understand that situations arise in which you must cancel your reserved appointment. It is therefore requested that if you must cancel your reserved appointment you provide at least 48 hour notice. To cancel a Monday appointment, please call our office by 2:00 p.m. on Wednesday. If prior notification is not given, you will be charged $100 for the cancelled or missed appointment.

I have read all the information on this sheet and completed the above answers. I certify this information is true and correct to the best of my knowledge. I will notify you of any changes in my health status or other information.