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Forms – Office Payment Policy

 

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OFFICE & PAYMENT POLICY

It is Physiomobility’s policy that payment for services is due in full by Cash,Debit orCredit Card at the end of each treatment session. A receipt with all ofthe required information will be provided to you so that you can submit it to your insurance company for re-imbursement.If you qualify for direct billing, you will only be required to pay any co-payments or deductibles not covered by your plan.

CANCELLATION POLICY

We require a minimum of 24 hours notice (48 hours notice for Pelvic and Orthotics/Chiropody appointments) for change or cancellation of any appointment. This will allow us to fill the available time slot with another patient who needs our services. The FULL TREATMENT FEE will be charged if you cancel the same day or if you do not show up for your appointment.


Compliance with your treatment plan designed by your therapist is an important factor in recovery. Patients who cancel frequently may be discharged for non-compliance. 


Should you arrive late for your appointment or request to leave early, the full fee for the appointment time you have booked will also apply. 


Please Note: We understand that your time is valuable and therefore make every effort to keep our schedule running on time. Due to the nature of our work, unexpected delays sometimes occur. 


Please be assured that under these circumstances you will still receive your full treatment time. Thank you for helping us to maintain a high level of service for all of our clients.

Patient's Name
Patient/ Guardian’s Signature (Printed name serves as signature)
Date
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WE ARE OPEN

AS ESSENTIAL HEALTHCARE PROVIDERS, WE REMAIN OPEN FOR IN-CLINIC TREATMENTS DURING THE PROVINCE WIDE EMERGENCY BREAK ANNOUNCED ON APRIL 01, 2021

Physiomobility continues to remain open and is not part of the lockdown. We continue to have rigorous disinfection policies and procedures in place to ensure the safety of our community and are open for patient in-person visits with all of our practitioners.

Virtual appointments are available and encouraged for those who are at a heightened risk of illness.

We remain focused on our quality of care & our continued commitment to helping our patients feel their best. For further assistance, you can contact us at 416-444-4800 during our opening hours. 

The Physiomobility Team