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.

If same-day request please call the office at (844) 545-2946 to alert us to your request.

    Tell us about the appointment you wish to cancel:

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

    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:

    Information is submitted using secure connection

     

    • 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)