Background: Missed appointments or “no-show” is a widespread problem faced both by the private and public sectors of the health care community. Identifying factors leading up to no shows will help the movers of health to understand the effects of no show in the utilization of essential health services especially during a pandemic and putting up with a plan to manage the exaggerated decline in both primary consultation and follow-up appointments Objective: To determine the associated factors of future no show among patients seen in Cebu Institute of Medicine – Community Medico Social Services (CIM-CMSS). Methods: Analytic, cross-sectional study was adopted by the study and was conducted at Cebu Institute of Medicine – Community Medico-Social Services Center from July to November 2021 to 165 participants chosen via purposive random sampling. Data collection was done using a validated, researcher-developed two-part questionnaire Results: One hundred sixty-five patients participated in the study. The demographics were gathered, associated with the factors that could affect the no-show rate. The top 5 contributing factors are as follows: Fear of COVID-19; Weather; Long waiting time during consult or follow-up; Work or school; Transportation Problems. Other non-patient and non-institution-related factors obtained the highest mean ratings. Only civil status and income showed significant difference. These may indicate that the decision to seek follow up is affected by factors outside the control of patient or the institution in relation to the different civil status and income levels. Conclusion The fear for the COVID-19 infection still holds the primary reason for not showing up for the scheduled follow up. Majority of the factors belonged to patient-related and other non-patient related and non-institution related factors. The long waiting hours could be addressed by CIM-CMSS to improve its services to patients. The ongoing pandemic will continue to affect the already-struggling follow up rates of CIM-CMSS