Our goal at Dream Big Pediatric Therapies is to provide you and your child with convenient, accessible, high-quality therapeutic care. In order for us to assure convenience and accessibility to all of our patients, it is important that patients arrive timely for all scheduled appointments or cancel the appointment 24 hours in advance. This policy allows us to service our available appointments for those patients in need of therapies.

Cancellation of an Appointment

 You may cancel your scheduled appointment by calling our office during regular business hours. Appointments are in high demand and your early cancellation will give another child the opportunity to be seen by a clinician. IF CANCELED APPOINTMENT LESS THAN 24 HOURS THEN THERE WILL BE A  $30 CHARGE DIRECTLY TO THE PATIENT ACCOUNT. An attendance rate that falls below 70% does result in the removal of standing appointments from the calendar and may take up to 1 month for a new standing appointment to be secured.

No Show/Missed and Late Cancel Appointment Policy

A missed appointment is an occurrence where someone does not show up for an appointment and does not cancel the appointment in advance of the scheduled date and time. If you do not show up for your appointment and you do not cancel the appointment 24 hours in advance, we will record this in the medical record as a “missed appointment”. Miss appointments directly affect your attendance rate. An attendance rate that falls below 70% or 2 “no show appointments” does result in the removal of standing appointments from the calendar and may take up to 1 month for a new standing appointment to be secured.

Fees for Appointments

 Failure to cancel or re-schedule the appointment within 24 hours of the scheduled appointment time will result in a fee for a missed appointment. This fee will not be submitted to the health plan; it will be charged directly to the patient. We understand that flexibility is important and patients may be allowed one “free” missed appointment charge. The missed appointment fee structure is $30 for all types of appointments including Evaluations, Re-Evaluations, and general therapy services.

Blue Care/TENN Care, & TEIS

Cancellations with less than 24 hours notice are considered No Shows/Missed Appointments. You are required to keep your appointment via zoom or reschedule within 24 hours to keep your current standing appointment.  If your child is unable to participate in the sessions, the clinician will use this time to answer questions directly with the parent and go over treatment plans and goals.

2 No Shows/Miss Appointments will result in removal from the permanent schedule. 


I pre-authorize Dream Big Pediatric Therapies to use the payment information (debit card and / or credit card) on file to charge for the applicable fees. If there is no payment information on file, I understand that I will be billed for the applicable fee. I acknowledge that I have read and understand the above policy statement regarding the fees for missed appointments. Additional information is available in the Attendance Policy  which is available in the medical offices and on I may also contact the Billing Department at for additional information. Please note: Repeated “missed appointments” may result in discharge from the practice.