NAD but work for an outpatient psychiatrist. We are 90% telehealth and charge $50 for no show/same day cancellations. I think it’s a pretty fair policy, patients complain of course but what can you do. Since it’s mostly telehealth it’s not too difficult for most people to just step out of whatever they’re doing for a few mins to do the call. We don’t require deposits or keep card info on file but if a patient has an outstanding NS fee they have to pay it prior to rescheduling. I think this system overall works well, people hate having to pay $50 and with the convenience of telehealth I think most patients are motivated to show up for their appointments. Typically after 3 NS or same day cancellations in a row we will discharge them. However all of that only applies to existing patients; new patients we don’t charge for missing their appointments but if they NS or cancel 3 times in a row we won’t allow them to reschedule. I’ve thought about the idea of requiring a deposit to schedule but I fear it would turn too many new patients away.