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WEB Current Patient Cancel Appointment - v3 2017

Cancelling an Appointment

Appointment Cancellation Form
The completed form will be emailed to a clinician at Gateway. As with all electronic communications, email is inherently insecure. If you want to guarantee the security of your message, please install a secure email service, like Virtru, and email email us at
This question requires a valid email address.
This question requires a valid number format.
Email will usually receive a faster reply.
Changing an appointment involves canceling the existing appointment and then finding a new time.

First let's cancel the old appointment.

This is the link to the "Information for Patients" form. The cancellation policy is discussed at the end:
This question requires a valid date format of MM/DD/YYYY.
Patients in active treatment need to always have a future appointment scheduled.

If you cancel this appointment without scheduling a new appointment we will not authorize new prescriptions or refills until you have a next appointment.
If so we will take you to the new appointment page.