Patient Forms - Dr. John Salerno
Medical Patient Treatment Forms for Salerno Wellness in Manhattan, NY and Connecticut
Please take the time to fill out, print, and bring with you the appropriate patient treatment form in advance of your visit. This will help us expedite you wait time so we can focus on your treatment. Please contact us if you have any questions filling out any of the forms. I sincerely look forward to seeing you!
-Dr. John Salerno
*Hyperbaric Oxygen Therapy (HBOT)
Booking and Cancellation Policy
At Salerno Wellness, we are committed to providing every patient with the highest level of care, comfort, and attention. To ensure that our schedule remains available and fair to all patients, we kindly ask that you review and agree to the following booking policy before scheduling your appointment:
Credit Card Requirement
- All appointments require a valid credit card on file at the time of booking.
- Your card will not be charged at the time of booking, except in the case of a missed appointment (see below).
No-Show Policy
- A $50 fee will be charged to your credit card on file if you fail to attend your scheduled appointment without notice.
- By booking an appointment with Salerno Wellness, you acknowledge and consent to this policy and authorize our center to process the no-show fee.
Cancellations & Rescheduling
- We kindly ask for at least 24 hours’ notice if you need to cancel or reschedule your appointment.
- Providing sufficient notice allows us to offer your time slot to another patient in need of care.
Agreement
By scheduling an appointment, you agree to the above policies and authorize Salerno Wellness to charge your card in the event of a no-show.
We thank you for your cooperation and understanding, as this policy helps us respect our practitioners’ time and better serve our patients.
