Patient Information
Please Read

All patients are personally responsible for advising the treating physiotherapist of any existing medical conditions, medication taken at present, possible pregnancy or if a pacemaker is fitted.

All patients are responsible for providing accurate personnel and contact details.

Patients are responsible for ensuring that accurate insurance details are provided to the clinic.

Patients are responsible for paying for the treatment received without exception.

If patients insurance companies do not pay the full amount invoiced, patients are liable to pay any outstanding amounts.

Patients consent for electronic storage of data on our records management system.

Patients consent to the sharing of data with other Cheshire Physioactive Clinic professionals.

Patients have the right to ask for a chaperone to be present during their consultation and treatment.

Less than 48 hours notice of cancellation is subject to 50% charge, less than 24 hours notice is subject to payment in full.

Please Discuss any concerns with a member of the team

I have read, understood, and accept the above terms and conditions, and give informed consent for an assessment and ongoing professional physiotherapy treatment.

Kind Regards
Cheshire Physioactive Team

April 2023