Get Lslc Cancellation Policy Form - Clear Speech - Clearspeech

This guide provides clear and concise instructions on how to fill out the LSLC Cancellation Policy Form for Clear Speech and Language. By following these steps, you will ensure that your appointment cancellations are handled smoothly and in accordance with the clinic's policies.

Follow the steps to complete the cancellation policy form effectively.

1. Click the ‘Get Form’ button to access the LSLC Cancellation Policy Form and open it in your preferred online document editor.
2. Enter the required details in the 'Client Name' field. Make sure to provide your full name as it appears in official documents.
3. Complete the 'DOB' (date of birth) section by entering your birth date in the specified format: MM/DD/YYYY.
4. Review the cancellation policy statement carefully to ensure you understand the terms regarding appointment cancellations and fees.
5. Acknowledge your understanding of the policy by filling in your 'Print Name.' This is where you will print your name as part of your acknowledgment.
6. Sign the form in the designated 'Signature' space to confirm your acceptance of the cancellation policy.
7. Add the 'Date' next to your signature to indicate when you completed the form.
8. If applicable, have your adult/guardian fill out their signature and date in the corresponding sections if you are a minor. Include the relationship to the child.
9. Ensure that any office use sections are filled out as necessary, indicating acknowledgment receipt or that a copy was given.
10. Finally, review the entire form for accuracy before saving your changes. You can download, print, or share the completed form as needed.

Complete your LSLC Cancellation Policy Form online today to ensure your appointment cancellations are properly documented.