We try hard to not double book, overbook, or keep our patients waiting for prolonged period of times in the waiting room.  As a result, this provides improved access and a better medical experience for everyone.  You do not loose half your day at the doctors office.  However, this also produces significant burden to our clinic if you do not show and forget to cancel 24 hours in advance.  While we accept most of the financial and logistical costs with providing this benefit to our patients, we do impose a no show policy with no show fees to help maintain access for patients that need our services and to at least partially recover the losses that do result.  This policy is described in detail on our website, and we are only billing a small fraction of the actual costs.