Patient Waiver and Acknowledgement

1. Acknowledgement of treatment

I, the undersigned patient (or legal guardian), authorize Physio Works LLC and its licensed clinicians to provide physical therapy, manual therapy, dry needling, vacuum cupping, Kinesio taping, IASTM, aquatic therapy, and related modalities deemed medically appropriate for my care.

2. Informed consent

I understand that physical therapy involves manual contact, exercise prescription, and the use of clinical instruments. I have been informed of the expected benefits, potential risks (including but not limited to muscle soreness, bruising, or temporary discomfort), and reasonable alternatives. I have had the opportunity to ask questions.

3. Aquatic therapy advisory

For patients undertaking aquatic therapy: I confirm I have no open wounds, uncontrolled cardiac conditions, or other water-incompatible conditions. I will notify the clinician immediately if my condition changes.

4. Cancellation and no-show policy

Appointments cancelled with less than 24 hours notice or marked as no-show may be billed at the full session rate. We will always work with you on rescheduling for legitimate emergencies.

5. Privacy and records

My clinical records are confidential and held according to Bahamian health-records standards. I authorize Physio Works to share my records with referring physicians, insurance carriers, or other clinicians only as required for my treatment or coverage.

6. Payment

Payment is due at the time of service unless prior arrangements have been made. Physio Works accepts cash, credit cards, and major Bahamian and international insurance plans. Insurance claims are filed as a courtesy; the patient remains responsible for any uncovered balance.

7. Photo and outcome use

I separately consent (or decline) the use of pre- and post-treatment photos, outcome data, or testimonials for clinical documentation and marketing. This consent is opt-in only and may be revoked in writing at any time.

8. Acknowledgement

By booking an appointment with Physio Works, I confirm I have read, understood, and agree to the terms above. A signed copy of this waiver will be requested at the first in-person visit.