Wanted to update my review below since their general manager was quite responsive and was able to waive the fee. That being said, I wish they would give their receptionists a bit more autonomy to make calls like that, or at least have someone on location who can. Because they don't, and the receptionist's "hands were bound by policy", I now have to make a second trip to the doctors. Only lucky that it wasn't an emergency. Hopefully they will change their model or will start sending reservation confirmations so that there is some accountability.
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The chiropractor and doctors are good, but the clinic itself is more interested in nickel and diming you than the care. Receptionist had put in a wrong time for my appointment. That is fine. When I explained, was told that I can never see the doctor without paying the late fee. When I wanted to talk to the manager, I was told she doesn't have a phone, and I can only email her. So I would have to email her and come back again. Ridiculous. I guess there's a reason it's easy to get appointments there - no regulars want to stay with them.