TERMS AND CONDITIONS - APPOINTMENTS

MISSED APPOINTMENT POLICY
I understand failure to give 12 hours notice of cancellation of an appointment may result in a cancellation fee of 50% of the consultation fee. 
I understand if I do not arrive at my appointment without notice it will result in a charge of the full appointment fee. 
I am aware that I am personally responsible for all fees and charges incurred in relation to my treatment. I authorise Function PCP to destroy all records 7 years after my treatment has ceased.

ASSUMPTION OF RISK/INFORMED CONSENT
Physiotherapy treatment is generally an effective and safe form of treatment however like any treatment there are benefits and risks. Physiotherapists in this practice will discuss your condition and options for treatment with you so that you are appropriately informed and can make decisions relating to treatment. You may choose to consent or refuse any form of treatment for any reason. 

During the examination, assessment and treatment it may be necessary for your physiotherapist to make physical contact. Your physiotherapist will ask your permission before making physical contact with you in any way. Physical contact requires your express consent. You may withdraw consent at any time at which point, all physical contact will cease immediately. Please inform your physiotherapist if you feel uncomfortable at any time.

A patient may be asked to remove certain articles of clothing to allow for a detailed musculoskeletal assessment. The physiotherapist will always ask for consent, if you’re ever uncomfortable or are not wanting to, please notify the physiotherapist. 

Liability: Function PCP accepts no responsibility for the treatment received.  Any professional liability is between the patient and the individual therapist.  Function PCP practitioners are insured through their respective insurance companies.  Function PCP adopts assurance protocols in accordance with the clinical guidelines as are specified by the Australian Physiotherapy Association. By signing this document I agree that I have read and understood the above statements relating to consent for treatment. I offer my consent to receive treatment within the practice and understand the risks involved. I agree that this consent will remain valid until such time as I withdraw my consent.

TERMS AND CONDITIONS - CLINICAL CLASSES AND PLAYGROUND

ASSUMPTION OF RISK/INFORMED CONSENT
I agree to participate in one or more physical fitness programs/classes/activities sponsored by Function, which may include, but not necessarily limited to Clinical Pilates, Yoga, Pilates, Gym, Bounce and Aerial Yoga. Function made me fully aware that the programs/classes/activities which Function offers and in which I desire to participate are of a nature and kind that could be strenuous and can/may push me to the limits of my physical abilities. I the undersigned recognise and understand that the programs/classes/activities are not without varying degrees of risk which may include, but are not limited to the following: injury to the musculoskeletal and/or cardiorespiratory systems which can result in serious injury or death, injury or death due to negligence on the part of myself, my training or sparring partner, or other people around me, injury or death due to improper use or failure of equipment, or injury or death due to a medical condition, whether known or unknown by me. I am aware that any of these above mentioned risks may result in serious injury or death to myself and or my partner(s).

I willingly assume full responsibility for any and all risks that I am exposing myself to as a result of my participation in Function programs/classes and accept full responsibility for any injury or death that may result from participation in any activity, class or physical fitness program. I hereby certify that I know of no medical problems that would increase my risk of illness and injury as a result of participation in a fitness program designed by Function. Function informed me that there exists the possibility of adverse physical changes during an exercise program and I acknowledge and understand the risks involved. Function informed me that these changes could include, but are not limited to, abnormal blood pressure, fainting, irregular heart rhythm, and in very rare instances, stroke, heart attack or even death, and I fully understand the same.

I'm in full consideration of any risks and hazards and am in full consideration of the fact that I am willingly and voluntarily participating in the activities made available by Function, and with my full understanding of all the above, I hereby waive, release, remise and discharge Function and its agents, officers, principals and employees and volunteers, of any and all liability, claims, demands, actions or rights of action, or damages of any kind related to, arising from, or in any way connected with, my participation in Function programs/classes/activities, including those allegedly attributed to the negligent acts or omissions of the above mentioned parties. This agreement shall be binding upon me, my successors, representatives, heirs, executors, assigns, or transferees. If any portion of this agreement is held invalid, I agree that the remainder of the agreement shall remain in full legal force and effect.