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Schedule Block Update Form
Name
First
Last
What time will you start and end your day?
Start Time
Hours
:
Minutes
AM
PM
AM/PM
End Time
Hours
:
Minutes
AM
PM
AM/PM
Clients can be scheduled up to, but not on, the end time
For Therapists: Schedules must allow continuous hour-long appointments. For example, please do not schedule 8:30-12pm because that would leave a 20 min unusable block.
What days of the week?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Break 1 Starts
Hours
:
Minutes
AM
PM
AM/PM
Break 1 Ends
Hours
:
Minutes
AM
PM
AM/PM
Clients can be scheduled up to, but not on, the end time
Break 2 Starts
Hours
:
Minutes
AM
PM
AM/PM
Break 2 Ends
Hours
:
Minutes
AM
PM
AM/PM
Clients can be scheduled up to, but not on, the end time
Do you want to add a "Current Clients Only" block?
People often add an hour to the start or end of the day with this label. It allows the scheduling staff to have flexibility to work your clients in, and you'll be paid for the time when the spots are filled.
Yes
No
Current Clients 1 Starts
Hours
:
Minutes
AM
PM
AM/PM
Current Clients 1 Ends
Hours
:
Minutes
AM
PM
AM/PM
Current Clients 2 Starts
Hours
:
Minutes
AM
PM
AM/PM
Current Clients 2 Ends
Hours
:
Minutes
AM
PM
AM/PM
Which office?
Start Date for New Block
MM slash DD slash YYYY
End Date (Optional)
MM slash DD slash YYYY
If adding block just for one day, make start and end date the same
How Should It Repeat?
Weekly
Every Other Week
One day Only
Other Frequency
Other Frequency:
Should this fully replace the existing blocks for the days you selected?
Yes
No
Notes
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