No Show Policy
It is the goal of Tulsa Bone and Joint (TBJA) to provide all of our patients with quality orthopedic care. Our physicians and staff want to ensure a thorough and prompt appointment process, enabling all patients to receive the treatment they deserve. One key to providing excellent patient care is appointment availability. Since TBJA provider schedules are often full, it is imperative that patients who are unable to keep a scheduled appointment contact us in a timely manner to reschedule and allow the open appointment to be offered to patients in need.
In an effort to accommodate all of our patients with the soonest possible appointment time, effective May 1st, 2023, Tulsa Bone and Joint will introduce a Patient No-Show Policy. Tulsa Bone and Joint asks that patients needing to reschedule or cancel their appointments do so at least 48 hours in advance of their appointment time. If you need to reschedule or cancel a surgery, we ask that you do so at least 5 business days prior to date of surgery.
No Show fees will be assessed to patients who do not cancel their appointment in as specified above. The fee schedule will be dependent on the type of services being rendered.
The No-Show fee schedule is as follows:
Office Visit – $50
Therapy Visit – $50
Diagnostic Services (MRI $100/CT$75/EMG$75)
Surgical Services – $350
TBJA understands that certain emergency circumstances may prevent patients from being able to cancel their appointments more than 24 hours prior, and these will be considered on a case-by-case basis.
I, ___________________________________, have read the above No Show Policy and acknowledge that, should I No Show an appointment or fail to cancel more than 24 hours prior to my appointment time, I could be assessed a “No Show” Fee. I further understand I will be unable to be seen for a visit at Tulsa Bone and Joint until any “No Show” Fees have been paid.
Patient Name: ______________________________________ DOB:_____________________
Parent/Guardian Name (if patient is a minor): __________________________________________