Reschedule or Cancel an Appointment

LADO HEALING INSTITUTE

Leonard A Lado MD·^TM, RPh, ABPN
American Board of Psychiatry and Neurology
Board Certified Psychiatrist

9410 Fountain Medical Court, Suite #200

Bonita Springs, FL 34135

Monday - Friday 9 AM - 5 PM

Phone: 239.948.4325

Click here for MAP or Driving Direction

Please note that $50 fee may apply if you cancel within 24 hours!

Please fill out this form to cancel your appointment

Appointment Type *

New Patient

Follow-up Patient

Please indicate the date of your (current scheduled) appointment +

Did you pay the $50 retainer fee when you have requested this appointment?

Yes

Other Other

First Name *

Last Name *

Phone Number *

Email Address *

If you are not the patient. Full name of the person who submits the form?

The submitter relationship to the patient

Rules on missed appointments:
You can cancel or reschedule your appointments within 24 hours two ways; 1. cancel or reschedule by using this FORM, which is also available through our website (ladomd.com) 2. calling our main office and leaving a message. This fee of $50 and cannot be waived, but it will be applied to your balance at the time of your first visit. Co-pays and deductibles have to be collected at time of visit or we violate the contractual agreement with our insurance companies. The following link will guide you to the law requirements in physicians expected to collect missed appointment fees.

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LADO HEALING INSTITUTE

Leonard A Lado MD·^TM, RPh, ABPN
American Board of Psychiatry and Neurology
Board Certified Psychiatrist

9410 Fountain Medical Court Suite #200, Bonita Springs, FL 34135 | Monday - Friday 9 AM - 5 PM |