Client Cancellation and Schedule Change Form
Email address *
Client Initials *
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Beginning Date *
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Returning Date *
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It is recommended that requests be submitted in the month prior to the requested change (e.g. a change for February should be submitted in January). Requests that are not submitted in advance may not be approved in time. Schedule changes that differ from the client's typical scheduled days require further review by administrators before being approved. By clicking "Agree", you acknowledge this statement. *
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This form was created inside of Reach High Consulting.