Terms and Conditions Agreement when choosing Lené van der Linde Physiotherapy

At Lene van der Linde Physiotherapy we value your privacy, feedback and suggestions.

Please read the Terms and Conditions carefully before making an appointment.

CONSENT TO TREATMENT
I hereby, voluntarily give consent, to physiotherapy procedures and modalities that will be performed on me or my dependant, subjected to the physiotherapist performing the relevant safety tests and evaluation, taking the necessary precautions and explaining the benefits and risks, as well as alternative procedures and modalities. I understand that during the treatment and evaluation I might need to uncover specific body areas and that I may choose not to do so if and when I feel uncomfortable.

CONSENT TO THE RELEASE OF INFORMATION
I hereby give consent to Lené van der Linde Physiotherapy to disclose information regarding my diagnosis (ICD 10 Coding), medical condition, prognosis and treatment program for account rendering purposes and appropriate referral. Any other information released will be discussed with the signatory according to the POPI Act (Act nr 4 of 2013).

COMPLAINTS POLICY
At Lené van der Linde Physiotherapy, open communication with regards to feedback, suggestions and complaints are encouraged. I hereby adhere to the policy to manage and discuss matters or complaints within the practice and involved staff members prior to any discussing with an external body or individual.

CANCELLATION OF BOOKINGS
The practice has a 3 hour cancellation policy. Appointments not cancelled not cancelled within this time will be charged in full.

PAYMENT OF ACCOUNTS
Patients are responsible for their accounts and for claims from medical aids. Accounts should please be settled within 30 days, thereafter interest of 15% per month will be charged.
Thank you for your agreement. We look forward to our journey with you and hope to assist you to the best of our abilities.

Thank you for your agreement. We look forward to our journey with you and hope to assist you to the best of our abilities.