Yes. The agreement usually renews automatically each year, but the patient or the doctor may cancel the agreement instead of continuing in the practice. If this happens during the middle of the enrollment year, and the patient has paid to the end of the year, Hansen-Smith Family Medicine will refund the part of the fee that has not been used. Once a patient has cancelled the agreement, the doctor will assume that the patient will not come back to the practice. (For example, a patient will not pay for one month when they need to be seen, cancel, and then return with payment two months later to be seen again.)