Effective Immediately, Last minute cancellations and failure to keep an existing appointment will be charged as follows: Physical exams must be cancelled a minimum of 24 hours before the appointment time. Failure to do so or failure to keep the appointment will result in a $75.00 charge. All other appointments must be cancelled a minimum of 2 hours before the appointment time. Failure to do so or failure to keep the appointment will result in a $50.00 charge. Cancellations must be made by speaking to our staff. Email notice will not be accepted. Thank you. Pleasant Valley Pediatric Medical Group