I herby confirm that the information I provide about my current and past health to Generation Physio is true and to the best of my knowledge. I agree to disclose any future medical conditions and/or injuries to my therapist, as this may affect the safety and effectiveness of my treatment.
Applicable only to clientele residing in aged care:
I give permission for staff of Generation Physio to access my medical history that may be kept within the aged care home. The Aged Care Facility must also give permission to Generation Physio staff.
Law requires Generation Physio and its representatives, to maintain the privacy and confidentiality of your protected health information.
Therapists of Generation Physio have a holistic approach to treatment and strive to provide the best outcome for you by working collaboratively with health care professionals involved in your care. It is Generation Physio’s usual practice to communicate with your referring health care professional and/or your treating doctor or surgeon regarding the outcome of your physiotherapy treatment as well as your past medical history when required.
It is also usual practice for therapists to document your progress by recording either picture or video footage during your physiotherapy consultation. The purpose of the picture/video footage is to track baseline measurements, functional progress and monitor the effectiveness of treatment. As a client of Generation Physio you have the right to decline any picture/video footage being taken. All recorded footage will be stored on the cloud under password encryption. Only staff of Generation Physio has access to these files.
A unique service that Generation Physio provides is regular physiotherapy reports to families. This allows family members to keep updated with your progress with physiotherapy. These physiotherapy reports may provide clinical information, video &/or picture footage. Physiotherapy reports will not be sent unless verbal permission has been given by you the client or on behalf of an Enduring Power of Attorney.
I acknowledge that therapists of Generation Physio are mobile and routes of transport between clients needs to be planned in advance, thus short notice cancellation can rarely be filled by other clients. As such, I am aware that the full session fee will be charged should I cancel within 1 hour of the appointment or not be present or available at the commencement of the scheduled session time without prior notification given to Generation Physio. This is applicable to all Private, Worker’s Compensation and Enhanced Primary Care clients and they will be required to pay the full cost of the scheduled appointment themselves.
Our fees will be shown either prior to or on your initial consultation. If you continue with the scheduled physiotherapy appointment you are agreeing to our scheduled rates set by Generation Physio. Prices are subject to change however prior notification will be given if this occurs.
By signing this form, I certify that I can act on behalf of the client. I declare that the information given on this form is true & to the best of my knowledge. I acknowledge that I have read and understood the Generation Physio Client Agreement and by signing this form I agree to be bound by those terms as published and as amended by Generation Physio from time to time.