Submit - Pelican Therapy Partners

Attendance Policy

The primary focus at Pelican Therapy Partners is to help the patient named below to achieve his/her goals for therapy. We strive to maximize patient’s abilities, but regular therapy attendance is critical to achieving those goals and obtaining effective outcomes.

Check each item that you agree to:

If a patient arrives more than 6 minutes late for his/her appointment without notification, the appointment may be subject to cancellation.

If the patient or patient’s representative does not call to inform PTP that the patient cannot attend a scheduled appointment, the appointment will be deemed a “no-call, no show.” Two no-call, no-shows may lead to patients being discharged from services or removed from the schedule immediately. If the patient is unable to attend a regularly scheduled appointment, the patient or patient’s representative should call and cancel the appointment with at least 24 hours’ notice or switch the appointment to a teletherapy appointment.

A cancellation rate of 25% or greater will be considered excessive and may result in the patient being discharged from services or placed on the on-call list. The cancellation rate will be determined per each therapy discipline. EVERY missed appointment must be made up or attempted to make up. Refusal to make up will result in potential grounds for discharge.

Patients will not be penalized for weather-related absences; however, a courtesy call is required if the patient will not be attending. If the clinic will be closed, a staff member will call and notify the patient or patient’s representative.

Client Name

Parent/Guardian Name

Client Signature

Clear

Parent/Guardian Signature

Clear

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