Appointment, confirmation, cancellation and rescheduling policy

Appointment scheduling

• A first appointment does not require an advance scheduling fee.

Appointment confirmation

• Appointments must be confirmed two days before consultation, before 7:00 p.m.
• Confirmation can be made by WhatsApp or phone call.
• If confirmation is not received on time, the slot may be assigned to another patient.
• Arriving 30 minutes late or more is considered a missed appointment.

Rescheduling, advance payment and penalties

• If rescheduling is requested, it must be reported as early as possible.
• A 50% advance payment of the consultation fee is required.
• For Panamerican patients, the full deductible applies.
• Payment methods:
  • Card or payment link.
  • SINPE Movil, transfer, or cash (4% additional fee as required by Ministry of Finance regulations).
• If a patient misses, cancels, or reschedules a second appointment, the advance payment is forfeited.
• Exceptions: personal/family medical emergencies, direct family death, severe weather conditions.
• Exceptions must be reported as soon as possible and supported with evidence for individual review.
• Fibroclinic may grant up to two courtesy reschedules when providers face emergencies, accidents, direct family death, severe weather, or scheduling contingencies.
• On a third reschedule initiated by Fibroclinic, the advance amount is refunded.

Packages and insurance

• Patients under prepaid packages (private or insurance) must cancel or reschedule at least 12 hours before appointment time.
• Changes made with less than 12 hours are considered late and the corresponding session is deducted.