Cancellation and Attendance

Attendance and participation in therapy along with complete compliance with any associated home programs, are essential for therapeutic success.
While Little Big and Loud, PLLC understands that illnesses and emergencies occur, we respectfully request that you avoid frequent cancellations or “no shows”.  Please adhere to our following policy regarding providing our office with advance notification for any cancellations resulting from a conflicting appointment, vacation, obligations for work or family, or any other event.
With the exception of emergency situations (death in family, hospitalization, emergency doctor visit), all cancellations must be 24 hours prior to your scheduled appointment by calling/texting/emailing your therapist. We consider the following to be examples of NON-EMERGENCY reasons to cancel an appointment: vacations, family events, parties, holiday, day before or after a holiday, car trouble, traffic, lack of babysitter, after school activities, schedule conflict, and sibling illness.
Cancellations may be subject to a $25 charge, if NOT RECEIVED AT LEAST 24 HOURS IN ADVANCE. If cancellations are due to COVID or an unrelated illness a doctor’s note and/or note from the school will be required to avoid a fee. All “no-shows” will be charged a $50 fee. This is necessary because a time commitment is made to you and is held exclusively for you. If you are late for a session, you may lose some of that session time.
If you cancel more than 2 scheduled appointments within a plan of care, the office will reserve the right to reevaluate the efficacy of treatment and how it relates to attendance. Additionally, if you arrive late for a scheduled appointment, the session will still end at the scheduled time or may be cancelled.
If you fail to appear for an appointment (no show) without providing the appropriate advance notification within the plan of care, the office will reserve the right to cancel all pending appointments and to no longer offer services to you as a client.
TELEPHONE ACCESSIBILITY If you need to contact us between sessions, please leave a message on our voicemail. We are often not immediately available; however, we will attempt to return your call within 24 hours.