APPOINTMENTS AND CANCELLATIONS
Please remember to cancel or reschedule 24 hours in advance. You will be responsible for the cancellation fee of $50 if cancellation is less than 24 hours, or if a scheduled appointment is missed. A credit card is required to schedule an appointment, and will be charged $50 for a cancellation within 24 hours, or a no-show. This is necessary because a time commitment is made to you and is held exclusively for you. If you are late for an appointment, you may lose some of that appointment time.
If you need to contact us and we do not answer, please leave a message on our voicemail or send a text message. We may not be immediately available while working with other clients; however, we will attempt to return your call or text within 24 hours. If a true emergency situation arises, please call 911 or any local emergency room.
We cannot ensure the confidentiality of any form of communication through electronic media, including text messages. If you prefer to communicate via email or text messaging for issues regarding scheduling or cancellations, we will do so. However, if you are sharing confidential information, please communicate through our secure client portal.
We may terminate treatment after appropriate discussion with you and a termination process if we determine that the treatment is not being effectively used or if you are in default on payment. We will not terminate the therapeutic relationship without first discussing and exploring the reasons and purpose of terminating.
BY HAVING A WORKING RELATIONSHIP WITH US, PLEASE UNDERSTAND YOU AGREE TO THE FOLLOWING:
*I understand that Nashville Nutrition & Weight Loss, LLC has a 24-hour cancellation policy. It is my responsibility to call or text the office or make changes in the client portal at least 24 hours prior to my appointment to cancel or reschedule an appointment. If I fail to do this, my credit card will be charged the $50 cancellation fee.
*I understand that Nashville Nutrition & Weight Loss, LLC will submit claims for nutrition services to insurance companies that contract with Nashville Nutrition & Weight Loss, LLC. However, I am responsible for my bill including any patient responsibility charges, co-pay, co-insurance or deductible as dictated by my insurance policy.
*I understand that Nashville Nutrition & Weight Loss, LLC will submit claims for nutrition services to insurance companies that are not contracted with Nashville Nutrition & Weight Loss, LLC if I agree to pay for charges at the time of service. I may then receive reimbursement directly from my insurance company if any is provided.
*If I am not insured, or my insurance company will not authorize or pay for my visits, I understand that I am responsible for my bill.
*I understand that Nashville Nutrition & Weight Loss, LLC requires me to keep a valid credit card on file and has my authorization to charge this credit card any balances, co-pay, co- insurance or deductible as dictated by my insurance policy. I will be informed of these charges prior to the card on file being charged.
*I agree to update Nashville Nutrition & Weight Loss, LLC with any changes to my credit card account and provide a new valid credit card as needed.