General Waiver
General Waiver Information
Updated: 4 January 2022
This policy is subject to and must be read in conjunction with our, Terms and Conditions, General Privacy Policy and Digital Privacy Policy.
All new clients will be sent the below as a Client Waiver Form via the automated appointment confirmation function of the Patient Management System utilised by Restore Prehabilitation & Wellness Ltd, trading as Restore Prehabilitation & Recovery.
All clients will be required to complete the form 48 hours prior to their initial appointment. By not completing the below, Restore Prehabilitation & Recovery and its practitioners holds the right to refuse delivery of service.
- I understand that all services are provided for injury resolution, injury mitigation, stress reduction, relaxation, relief from muscular tension, and improvement of circulation and range of motion
- If I experience pain or discomfort during the session, I will immediately inform my practitioner so that effort can be adjusted to my level of comfort. I will not hold my practitioner responsible for any pain or discomfort I experience from the session
- I affirm that I have notified my practitioner of all known medical conditions and injuries via the intake form and prior to any session if my situation changes between times.
- I agree to inform my practitioner of any changes in my health and medical condition. I understand that there shall be no liability on the instructors part should I forget to do so.
- I understand that all services are designed to assist in greater mobility and movement gains and are non-sexual in nature.
- I understand that there is a service specific cancellation policy. If I am unable to cancel before that time, I will be responsible for the costs associated with that session. This includes late arrival of 10 minutes or more to a scheduled appointment.
- I understand that all invoices, including late cancellation invoices, are to be paid on the day of issue. All outstanding payments over 7days, will incur interest of 18% of the total outstanding values on a daily basis and collected by a third party.
- I understand that the services offered today are aligned with the practitioner’s scope of practice and may not be a substitute for additional medical care or diagnosis.
- I understand that my practitioner is not qualified to perform spinal or skeletal adjustments, prescribe medication, or treat mental illness.
Further Information and Agreement
- Prior to your session, please remove jewellery or watches. Pull long hair back with a band.
- Please wear loose, long, comfortable clothing, that allow for freedom of movement (no jeans/restrictive fabric pants or short shorts).
- Any session cancellations due to inappropriate clothing will be charged for as per the late cancellation policy stated above
- Feel free to ask your practitioner any questions before, during, or after the session. Your practitioner is highly trained and will be happy to make you feel informed and comfortable.
- By clicking “I acknowledge” on the above statements, I hereby waive and release my practitioner and Restore Prehabilitation & Recovery from any and all liability, past, present and future relating to the services received