No-Show / Cancellation

No-Show and Cancellation Policy

At Nirvana Health Management Services, we are, on behalf of your treating providers, searching for smarter ways to assist your treating providers in improving patient outcomes and increasing value in care – –To drive better results, every interaction matters.

We schedule our appointments so that each patient receives the right amount of time to be seen by our physicians and staff.

That’s why it is essential that you keep your scheduled appointment with your provider and arrive on time.

Courtesy Reminders

Your healthcare provider has invested a lot of time to ensure each patient receives quality, convenient care. As a courtesy and to help patients remember their scheduled appointments, we send text messages and email reminders 7-days, 3-days, and 24 hours in advance of the appointment time.

Additionally, our Client Communication Center calls for final confirmation.

24 Hours-Notice Required for Cancellation

If your schedule changes and you cannot keep your appointment, be sure to call 973.672.8573 to reschedule to enable your treating provider to accommodate those patients who are waiting for an appointment.

As a courtesy to our office and those patients waiting to schedule with the physician, our office requires at least 24 hours’ notice of cancellation.

Automatic Cancellation

If you do not cancel/reschedule your appointment within at least 24 hours’ notice, your appointment will be automatically canceled. An appointment that is automatically canceled may be rescheduled by calling our office at (973) 672-8573.

No-Show Service Charge

Please be advised that we charge all patients a No-Show Service Charge for no-shows (i.e., missed appointments where the appointment has not been canceled), as applicable.*

The patient is directly responsible for these charges. Covered patients will be billed directly for No Show Service Charges. No Show Service Charges will not be submitted to Medicare or other insurance for reimbursement.

  • $100.00 “No Show Clinician” service charge
  • $25.00 “No Show Technician” service charge
  1. Repeated Cancellations and/or No Shows – Default to Walk-In Appointments

In the event of two (2) no-shows or cancellations without proper notice, we may offer you walk-in appointments only, subject to availability, and no longer offer you scheduled appointments. Please be advised that repeated no-shows or cancellations may result in your discharge from the practice.

*Medicaid patients are not charged a Service Charge.

973-672-8573

It's Just Not That
Black & White
A new podcast, premiering October 15

Society & Culture · 2026

Available On

What happens when a doctor and a reverend sit down to talk about the questions that rarely have simple answers?

Welcome to It’s Just Not That Black and White, hosted by Dr. Alexander Salerno and Reverend Doctor Dana Owens. Continue reading… ↓ Friends for over 20 years, these two trusted community leaders bring uniquely different, yet deeply connected perspectives to candid conversations about health, faith, culture, technology, and the unpredictable realities of everyday life.

With two decades of shared history, Dr. Salerno and Reverend Owens aren’t afraid to challenge assumptions, share personal stories, invite insightful guests, and dive headfirst into complex issues.

Whether they’re finding common ground or making room for honest disagreement, every episode balances deep reflection with lighthearted humor, reminding us that life’s most important truths usually live somewhere in the gray.

Subscribe and join the conversation where no topic is off-limits, and nothing is ever just black and white.

It's Just Not That Black & White
A new podcast, premiering October 15

What happens when a doctor and a reverend sit down to talk about the questions that rarely have simple answers?

Welcome to It’s Just Not That Black and White, hosted by Dr. Alexander Salerno and Reverend Doctor Dana Owens. Friends for over 20 years, these two trusted community leaders bring uniquely different, yet deeply connected perspectives to candid conversations about health, faith, culture, technology, and the unpredictable realities of everyday life. Continue reading… ↓

With two decades of shared history, Dr. Salerno and Reverend Owens aren’t afraid to challenge assumptions, share personal stories, invite insightful guests, and dive headfirst into complex issues.

Whether they’re finding common ground or making room for honest disagreement, every episode balances deep reflection with lighthearted humor, reminding us that life’s most important truths usually live somewhere in the gray.

Subscribe and join the conversation where no topic is off-limits, and nothing is ever just black and white.