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We are not licensed to see patients based in NY, MA, RI, WV PA if you book an appointment and are based in one of these states you will pay an appointment cancellation fee. To ensure fairness and availability for all patients, we require advance notice for any appointment changes., A $25 processing fee applies to all cancellations, prior to 48 hours of your appointment. Appointments canceled within 48 hours of the scheduled time are non refundable. Thank you for your understanding and for respecting our time and commitment to patient care.