Appointments and Cancellations Forms

Please correct the errors described below.

When we schedule your appointment at Saluda Smilemakers, Dr. Wheeler’s office, we are reserving a room for your particular needs. We ask that if you must change an appointment, please give us 24 hours notice. This courtesy makes it possible to give your reserved room to another patient who would like it.

There is a charge for not showing up for scheduled appointments. Repeated cancellations or missed appointments will result in loss of future appointment privileges.

At Saluda Smilemakers, we feel that our patient’s time is valuable. When your appointment is made, a room is reserved, your records are prepared, and special instruments are readied for your visit. Except for emergency treatment for another patient, you can expect our staff to be prompt. We, of course, would appreciate the same courtesy from you. Thank you.

DISCLAIMER: By typing your name below, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application.

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