Client Registration Details


Dear ,

Below is the information you've given us about yourself and a few T's and C's you've agreed to. We think it's all fairly straightforward, but if you do have any questions about it, feel free to ask. 

     

DECLARATION:

    • I give my permission to be assessed and treated by a Physiotherapist / Studio instructor / Massage Therapist.
    • I agree to pay all charges if my injury claim is not honored by ACC.
    • Physiotherapy/ Massage only: I understand that my treatment may include acupuncture and manipulation. My therapist will discuss these with me beforehand and that I am free to opt out of these treatments if I wish.
    • I’d like The Studio to send me appointment reminders, exercise programmes, etcetera via txt or email.
    • Pilates class packages purchased at The Studio are valid for 6 months from date of purchase and are non-transferable and non-refundable.
    • I will inform my therapist or instructor if I become pregnant.
    • I give permission for The Studio to obtain medical records from other practices.
    • I understand that The Studio has a 24 hour cancellation policy and that in the event of cancellation within this period, I am liable for the full charges associated with any of the services I utilise at The Studio.

 

The Studio - 159 Gorge Road, Queenstown - 03 409 0078 - www.thestudioqueenstown.co.nz 

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The Studio Physiotherapy and Pilates Queenstown http://www.thestudioqueenstown.co.nz
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Document name: Client Registration Details
lock iconUnique Document ID: e3ea2d2386ce8a8cd794d01a58926a9cf20679e2
Timestamp Audit
February 14, 2020 11:45 am NZDTClient Registration Details Uploaded by The Studio Queenstown - healme@thestudioqueenstown.co.nz IP 103.62.49.134