PRACTICE AND REFUND POLICIES
FINANCIAL RESPONSIBILITY Please note the hourly rate with Megan-Marie PT is $180 unless otherwise noted. Megan-Marie PT documents and bills at the hourly rate agreed upon for all communications in the following way:
Face-To-Face Sessions: Billed every 30 minute increment, includes in-person and Telehealth sessions
Video/Voice Call: Billed every 15 minute increment
Email/Text Communication: Billed every 5 minute increment
Megan-Marie PT invoices clients monthly, and requires a credit card on file for security purposes. Megan-Marie PT does not auto-charge unless indicated
MEMBERSHIP All membership tiers are final sale and not considered MEDICAL CARE. Please notify Megan-Marie PT 30 days prior to expiration to cancel any membership.
INDIVIDUAL APPOINTMENTS AND CANCELLATIONS Please remember to cancel or reschedule 24 hours in advance. You will be responsible for the entire fee if cancellation is less than 24 hours.
The standard meeting time for all sessions is 60 minutes. It is up to you, however, to determine the length of time of your sessions. Requests to change the 60 minute session needs to be discussed with your provider in order for time to be scheduled in advance.
A $10 service charge will be charged for any checks returned for any reason for special handling.
Cancellations and re-scheduled session will be subject to a full charge if NOT RECEIVED AT LEAST 24 HOURS IN ADVANCE. This is necessary because a time commitment is made to you and is held exclusively for you. If you are late for a session, you may lose some of that session time.
REFUND POLICY Megan-Marie PT does not issue refunds for any and all services provided. Packages purchased may not be refunded, and must be completed within 6 months of purchase date.
TELEPHONE ACCESSIBILITY If you need to contact me between sessions, please leave a message on my voicemail. I am often not immediately available; however, I will attempt to return your call within 24 hours. Please note that Face-to-face sessions are highly preferable to phone sessions. However, in the event that you are out of town, sick or need additional support, phone sessions are available. If a true emergency situation arises, please call 911 or any local emergency room.
SOCIAL MEDIA AND TELECOMMUNICATION Due to the importance of your confidentiality and the importance of minimizing dual relationships, I do not seek friend or contact requests from current or former clients on any social networking site (Facebook, etc) for ANY reasons beyond business and marketing matters. Despite this, I still believe that adding clients as friends or contacts on these sites for social benefit can compromise his/her confidentiality and our respective privacy. It may also blur the boundaries of our therapeutic relationship. If this is not something you are comfortable with, you are not required establish friendship in any social media medium. If you have questions about this, please bring them up when we meet and we can talk more about it.
ELECTRONIC COMMUNICATION I cannot ensure the confidentiality of any form of communication through electronic media, including text messages, email, google drive documents, Facebook, or the TrueCoach App. Communicating about personal health information is your choice. If you prefer to communicate via email or text messaging for issues regarding scheduling or cancellations, I will do so. While I may try to return messages in a timely manner, I cannot guarantee immediate response and request that you do not use these methods of communication to discuss therapeutic content and/or request assistance for emergencies. Services by electronic means, including but not limited to telephone communication, the Internet, facsimile machines, and e-mail is considered telemedicine. Telemedicine is broadly defined as the use of information technology to deliver medical services and information from one location to another. If you and your provider choose to use information technology for some or all of your treatment, you need to understand that:
MINORS If you are a minor, your parents may be legally entitled to some information about your treatment. I will discuss with you and your parents what information is appropriate for them to receive and which issues are more appropriately kept confidential.
TERMINATION Ending relationships can be difficult. Therefore, it is important to have a termination process in order to achieve some closure. The appropriate length of the termination depends on the length and intensity of the treatment. I may terminate treatment after appropriate discussion with you and a termination process if I determine that the treatment is not being effectively used or if you are in default on payment. I will not terminate the therapeutic relationship without first discussing and exploring the reasons and purpose of terminating. If treatment is terminated for any reason or you request another provider, I will provide you with a list of qualified Physical Therapists to treat you. You may also choose someone on your own or from another referral source. Should you fail to schedule an appointment for three consecutive weeks, unless other arrangements have been made in advance, for legal and ethical reasons, I must consider the professional relationship discontinued.
BY SIGNING BELOW I AM AGREEING THAT I HAVE READ, UNDERSTOOD AND AGREE TO THE ITEMS CONTAINED IN THIS DOCUMENT.
CONSENT FOR TELEHEALTH CONSULTATION
CONSENT TO USE THE TELEHEALTH VIA GOOGLE HANGOUTS, FACETIME, ZOOM:
Telehealth by Google Hangout, FaceTime, or Zoom are the technology services we will use to conduct telehealth video-conferencing appointments. By signing this document, I acknowledge:
By clicking the policy box, I certify:
BY CLICKING THE BOX I AM AGREEING THAT I HAVE READ, UNDERSTOOD AND AGREE TO THE ITEMS CONTAINED IN THIS DOCUMENT.