Please use the following form to cancel your already scheduled appointment. Once the form is submitted, a member of our DIS support staff will contact you to confirm and finalize the cancellation request.

When submitting a request in the evening or on the weekend, please also call the office to ensure prompt attention to your request.

Tell us about the appointment you wish to cancel:

Contact information:
First Name:*
Last Name:*
Phone*:
 Email*:

Appointment information:
Deaf Client's First Name:*
Last Name:*
Appointment Date:* (mm/dd/yy)
 Appointment Time:*
Appointment Time Zone:*
Appointment Address:*
City:*
 State:*
Zip:*

Reason for cancelling:

 

  • Requests received with less than 48 hour notice will be billed at Time-and-a-half
  • Less than 48 hour cancellation will be billed in its entirety
  • Legal assignments require 48 hour notice for scheduling &/or cancellations
  • Client “No-Show” will be billed for in its entirety
  • 24 hr. cancellation notice is required per day for assignments lasting more than one day
    (i.e. a two day event requires 48 hr notice, a three day event requires 72 hr notice)