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Cancellation Request Form

Cancellation Request

Things come up, we understand. If you need to cancel an appointment, we simply require 24 hours notice before your appointment to waive our 50% Same-Day Cancellation Fee.

First Name

Last Name

Email

Date of Appointment

I understand that cancelling my appointment less than 24 hours prior to my appointment will result in a 50% charge of my scheduled appointment per the cancellation policy.

Thank you.

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