By booking an appointment or having treatment with Holcombe Health Clinic (“we” or “us”), you agree to these Conditions of Treatment (“Conditions”). Holcombe Health Clinic has independent contractors (“our Team”). As a customer of Holcombe Health Clinic, you are described as “Patient” according to this agreement (also “you” or “your”).
These Terms and Conditions form part of your consent that allow us to provide you treatment.
I give my consent to receive a physiotherapy assessment and treatment, including the necessary examination and physical contact in the relevant area(s) of my body.
I understand that procedures and treatment options will be explained to me and I will be given the opportunity to ask questions.
I understand that I may withdraw my consent at any time.
I understand that if consent is not given or withdrawn, Holcombe Health Clinic will not be able to carry out any further treatment.
In the event that a member of our Team is off sick or away, I understand that I may be seen by another member of our Team to avoid interruption to my treatment.
For patients whose treatment is via a referral or funded by a third-party, you also agree to the following:
I understand that as part of my treatment, I consent to allowing any reports regarding my assessment and treatment to be released to my funding body.
This may also include clinical notes in some cases. We will obtain written consent from you before disclosing these notes, except in cases where consent is provided by the referring party either by way of contract or prior agreement with you.
Missed appointments/cancellations (less than 24 hours)
I agree that if I am unable to attend a booked appointment, I will provide at least 24 hours’ notice, wherever possible.
If I do not attend an appointment or cancel with less than 24 hours’ notice, I agree to the following:
I MAY be liable to a cancellation or missed appointment fee.
For Funded or Referred patients, the funding or referring party MAY be advised of the cancelled or missed appointments and this MAY affect continuation of your treatment or number of treatments you receive.
You will be charged for your appointment in line with the rate current at the time of booking. This can be obtained by contacting us.
Payments can be made using any of the following methods: Credit Card/Debit Card/Cash or Cheque.
Payments can be made up-front, otherwise it becomes due immediately following an appointment.
Delayed payments will be subject to our debt recovery process, including any interest accrued.
Patients are requested to check the conditions of their Health Insurance Policy and/or referring party, as Holcombe Health Clinic cannot be held responsible for any non-payment of claims. If insurers are unwilling to make payment, the patient will be liable for ALL costs.
Access to clinical notes
I understand that I have a right to request a copy of my clinical treatment notes, which can made by contacting us.
I understand that there may be an administration charge for this service of £10.00.