I have a 24 hours minimum cancellation policy, with 48 hrs or more preferred.  Please arrive on time, especially if I am billing your insurance which requires minimum appointment durations. To avoid missing or arriving late for an in-person appointment, I prefer that you switch to telehealth by giving me a call as soon as possible. True emergencies are an obvious exception. If you are an Oregon Health Plan (OHP) member, I can't charge late cancel or missed appointment fees, but I will likely switch you to same day scheduling if you miss or late cancel for 3 appointments within a 3 month period. For commercial insurance, MVA, or private pay clients, after one freebee per six months, the no-show or late cancel fee is equal to 50% of the full contracted session fee.