Your provider has indicated that you'll need to contact them directly if you need to cancel an appointment within {{pluralize this.portalConfiguration.cancellationWindowInHours \"hour\"}} of the scheduled appointment.
\nBecause this appointment is within that window, you'll need to contact your provider directly to cancel this appointment.
\nYou're about to cancel {{if (eq @event.client this.session.currentClient) \"your\" (concat @event.client.name \"'s\")}} appointment with {{@event.user.name}} on {{moment-format @event.startsAt \"MMMM Do, YYYY [at] h:mma\"}}.
\n \nWarning! Because you're cancelling within {{pluralize this.portalConfiguration.lateCancelAdvanceInHours \"hour\"}} of the appointment, this will be marked as a late cancellation.
\n {{/if}}\nNone
\n {{/each}}\n \n {{#if this.hasMoreResults}}\nNone
\n {{/if}}\n{{appointmentRequest.client.name}}
\n{{moment-format appointmentRequest.startsAt \"MMMM Do, YYYY [at] h:mma\"}} with {{appointmentRequest.user.name}}
\n \n \n {{/each}}\nAre you sure you want to cancel your appointment request for {{moment-format this.appointmentRequestToCancel.startsAt \"MMMM Do, YYYY [at] h:mma\"}}?
\nWe received your request to cancel the appointment on {{moment-format this.cancelledAppointment.startsAt \"MMMM Do, YYYY [at] h:mma\"}}.
\nThere doesn't seem to be any availability right now to take online appointments.
\n \n Go Home\n {{/unless}}\n \n {{#if this.clientSelectionStep.visible}}\n{{serviceMapping.settings.durationInMinutes}}m
\nOnce submitted, your request will need to be confirmed before it is put on the schedule.
\n \n{{breaklines (linkify this.selectedLocation.description)}}
\n {{/if}}\nOptional
\nIt looks like the email you used to submit your request is already in use.
\n \n\n If you have an account to the client portal, please sign in and request an appointment there.\n If you don't yet have a portal account, please request access from your provider.\n
\nYour appointment request for {{moment-format this.selectedTime \"MMMM Do, YYYY [at] h:mma\"}} has been sent!
\nYour request is now under review. Someone at the practice will review the request and will confirm (or deny) your request before it is added to the schedule.
\nYou signed this assessment on {{moment-format @sharedDocument.electronicSignature.createdAt \"M/D/YY [at] h:mma\"}}.
\n {{/if}}\nMissing Birth Date.
\n {{/if}}\n \n{{this.missingContactInformationReason}}
\n {{/if}}\n \nMember ID: {{this.insurancePolicy.memberId}}
\n {{#if this.insurancePolicy.insuranceType}}\nInsurance Type: {{this.insurancePolicy.printableInsuranceType}}
\n {{/if}}\nPlease select the profile you'd like to view:
\n \nYou signed this treatment plan on {{moment-format @sharedDocument.electronicSignature.createdAt \"M/D/YY [at] h:mma\"}}.
\n {{/if}}\n\n {{#if this.bill.clientHasFullyPaid}}\n PAID\n {{else if this.bill.isPastDue}}\n PAST DUE\n {{else}}\n {{this.bill.readableStatus}}\n {{/if}}\n
\n \n {{#unless this.bill.clientHasFullyPaid}}\n{{format-money (if this.bill.insurance this.bill.clientRemainingBalance this.bill.remainingBalance)}}
\n \nLet's find your invoice in our system.
\nFirst, make sure you can locate the Invoice # and Online Access Code on your invoice.
\n \nOops! We couldn't find the invoice given the Invoice # and Access Code provided. Please make sure you enter both values exactly as they appear on your invoice.
\n {{/if}}\n \n{{this.cardError}}
\n {{/if}}\n \nPlease confirm the payment amount.
\n \n{{format-money this.pendingAmountInCents}}
\n \n| Open | \nBalance | \nDue Date | \n
|---|---|---|
| \n {{bill.identifier}}\n | \n\n {{#if this.canSubmitOnlinePayments}}\n \n {{else}}\n {{format-money bill.clientRemainingBalance}}\n {{/if}}\n | \n{{if bill.dueDate (moment-format bill.dueDate \"M/D/YYYY\") \"--\"}} | \n
| Complete | \nDate Completed | \n|
| \n {{bill.identifier}}\n | \n{{moment-format bill.updatedAt \"M/D/YYYY\"}} | \n
None
\n {{/if}}\n| Statement | \nDate | \n
|---|---|
| \n SB-{{superbill.clientIdentifier}}\n | \n{{moment-format superbill.createdAt \"M/D/YYYY\"}} | \n
| Statement | \nDate | \n
|---|---|
| \n S-{{statement.clientIdentifier}}\n | \n{{moment-format statement.startsAt \"M/D/YYYY\"}} - {{moment-format statement.endsAt \"M/D/YYYY\"}} | \n
| Name | \nDate Accepted | \n
|---|---|
| \n | \n {{moment-format consentFormAcceptance.acceptedAt \"M/D/YYYY\"}} | \n
| Incomplete | \nDate Requested | \n|
|---|---|---|
| \n \n \n \n !\n \n | \n {{moment-format formSubmission.createdAt \"M/D/YYYY\"}} | \n|
| \n \n {{questionnaire.formName}}\n !\n \n | \n {{moment-format questionnaire.createdAt \"M/D/YYYY\"}} | \n|
| {{if this.incompleteFormSubmissions.firstObject \"Complete\"}} | \nDate Completed | \n|
| \n | \n \n {{moment-format formSubmission.completedAt \"M/D/YYYY\"}}\n | \n|
| \n | \n {{moment-format (or questionnaire.completedAt questionnaire.updatedAt) \"M/D/YYYY\"}} | \n\n |
| Assessments | \n
|---|
| \n \n \n {{assessment.formName}}\n \n {{#if (not-eq assessment.client assessment.recipient)}}\n - {{assessment.client.name}}\n {{/if}}\n \n \n {{#unless assessment.electronicSignatures.firstObject}}\n !\n {{/unless}}\n \n | \n
| Treatment Plans | \n
| \n \n \n {{#if sharedDocument.document.isDraft}}\n DRAFT\n {{else if (gt this.sharedDocumentsForTreatmentPlans.length 1)}}\n {{#if sharedDocument.document.isActive}}\n Current\n {{else}}\n Past\n {{/if}}\n {{/if}}\n \n Treatment Plan\n \n {{#if (not-eq sharedDocument.client sharedDocument.document.client)}}\n - {{sharedDocument.document.client.name}}\n {{/if}}\n \n {{#if sharedDocument.document.isPast}}\n ({{moment-format sharedDocument.document.activatedAt \"M/D/YY\"}})\n {{/if}}\n \n \n {{#if sharedDocument.isIncomplete}}\n !\n {{/if}}\n \n | \n
| Other Documents | \n
| \n \n \n | \n
You've already completed and signed the {{this.selectedCompletedFormSubmission.form.name}} form.
\nBy continuing, we'll clear all signatures and reopen the form for edits.
\nClient: {{this.currentConsentFormAcceptance.client.name}}
\n {{/if}}\n \nPowered by Sessions Health | © Sessions, Inc. {{this.year}}
\n \nHere, you'll be able to access documents and other shared materials from {{this.currentOrganization.name}} for {{this.selectedClient.name}}.
\n \n \n {{else if this.showCompletedView}}\nThank you! We have everything we need from you for now. Going forward, you can use the {{this.currentOrganization.name}} portal to access documents and other shared materials for {{this.selectedClient.name}}.
\n \nWe've received your submission! You can now close this browser window.
\n {{else}}\nYou've been requested to fill out a questionnaire for {{this.currentOrganization.name}}.
\n \nWe're really sorry, but something went wrong.
\nWe've been notified about this issue - we'll take a look and see what happened!
\n Back Home\n\n Sorry, we were either unable to locate this page or unable to determine that you are authorized to view it.\n
\n \nAlready a client? Please sign in.
\n \n