PhysioFunction Terms and Conditions

This agreement was last modified on 5th October 2015.

Terms and Conditions

Physiofunction Ltd TERMS & CONDITIONS

Our commitment to you
You will always be seen by a qualified physiotherapist unless otherwise informed, registered with the Health Professions Council (formally called 'State Registered' or SRP), and CSP, who will examine and treat you in line with the Chartered Society of Physiotherapy's code of practice. After examination the physiotherapist will explain her/his assessment of the complaint and propose treatment if appropriate, explaining what is involved, any risks and if possible give you an estimate of the number of treatment sessions needed and the time period required. You may decline any of the treatments proposed, without prejudice.
Your consultation and treatment will usually be on a one to one basis (unless otherwise agreed) and in the privacy of the treatment room/cubicle or in a chosen domiciliary setting.
Your appointment/s will be scheduled according to their needs and to the best of our ability.
A letter is normally sent to your GP or referrer unless you request otherwise.
Anyone may book an appointment.

FEES for your treatment - TBC

FES (Functional Electrical Stimulation)

Assessments are available and will incur a £ charge for consumables used. Please contact our office for further details.

LETTERS AND REPORTS

Reports required at the initial assessment will be charged at £, and are optional. Those which are in addition to the initial assessment report are charged in respect of the total time taken to prepare them and are based on £ per hour. Lengthy telephone conversations will be charged at the therapist’s discretion. Clients will be advised in advance. Administration charges are billed at £ per hour.

PRIVATE HEALTH INSURANCE CLAIMS

PhysioFunction Ltd. is registered with the major insurance companies including BUPA and is able to invoice these companies directly. Please note that the ultimate responsibility for settling your account lies with you and you will be required to meet any shortfall arising from your claim. Please contact your relevant insurance company before embarking on a course of treatment to confirm:

CANCELLATION POLICY

Physiofunction Ltd requires 24 hours notice of any cancellation

If you need to cancel / re-arrange any appointments, please give us 24hrs notice.

Failing this a cancellation charge will be applied which is the full cost of consultation charges at our clinic or for domiciliary visits.

Clinic Appointments:

If a patient is more than 15 minutes late for their scheduled appointment, it will be at the discretion of the therapist if they can be treated or not.

PAYMENT

Payment is required within 7 days of invoice date. Payment methods are shown on our invoice.

CONFIDENTIALITY

All written, audio, visual and video records will be stored securely. Information shared within your therapy sessions will be treated with the strictest of confidence and at no time will this information be shared with any third parties without your consent.


CONSENT

Clients are required to consent to assessment and treatment. They are expected to respect the clinician during the treatment sessions. Aggressive and/or abusive behaviour will not be tolerated. Additional permission will be required for audio / video recording and for the circulation of reports to other relevant professionals.

WITHDRAWAL

The client is free to withdraw from therapy at any time without stating a reason provided that 24hrs notice is given for any booked appointments.

TERMINATION OF THERAPY

Physiofunction Ltd reserves the right to terminate therapy at any time.

PhysioFunction Ltd reserves the right to amend these terms and conditions from time to time.

CLIENT NAME ....................................................................................

CLIENT ADDRESS ...................................................................................................................

..............................................................................................................................................

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POSTCODE ...............................................................

Agreement to Physiofunction Ltd terms and conditions

I disagree / agree to the above terms and conditions of therapy

I do not consent / consent to assessment and treatment

I disagree / agree to the use of audio / visual and video recording (not for third party use)

I disagree / agree to the circulation of reports to other relevant professionals

I disagree/agree to Physiofunction informing my GP of my treatment

Signed…………………………………………….. Date …………………………….

Print Name .......................................

(Client / carer / solicitor / case manager)

Signature of the therapist………………………………………………………….