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Request for No-Show Fee Appeal

When a student fails to show up for an appointment, or cancels without adequate notification, other students who could have been served in a timelier manner must wait longer for necessary services.

If you believe that we have made an error in charging you for a no-show/late cancellation, or feel you deserve special consideration for such a fee, please complete the following form. Appeals must be submitted within 30 days of appointment date.

To submit No-Show Appeal for a Student Health Services appointment, click HERE

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I understand that the appeal process is not a guarantee of reversal of the no-show/late cancellation fee. After this form is received it will be given consideration and we will provide a written response at the address listed above.

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