Our office charges for no-show appts. We charge what the insurancs would pay and the co-pay, but only for patients that have signed a consent stating they understand our policy. You can not charge a patient for a no-show if they have not signed the office policy. We send a Welcome letter to our new patients that states they have to call and confirm they will be keeping there new appt if they do not then we take them out of the schedule, it works very well.We send our patients to collects for no show appt. We had one patient get made and take it to his lawyer and he told the patient because we had him sign the consent for treatment and it stated our no-show policy his lawyer told him he had to pay the bill.