Terms and Conditions

POTENTIAL RISKS OF REHABILITATION TREATMENT include but are not limited to: increased pain, tissue strain or sprain, and skin irritation/burns. More remote risks include: nerve damage, heart attack, stroke, and broken bones. There is also the risk of treatment failure, relapse, and the need for further treatment.

Medical Release of Information: I authorize the release of any medical information necessary for treatment.

Missed Appointments: Unless canceled at least 24 hours in advance, our policy is to charge for missed appointments.

Summary of Notice of Privacy Practice The United States Department of Health and Human Services developed the Health Information Portability and Accountability Act (HIPAA) to maintain the privacy of your Protected Health Information (PHI) and provide you with notice of the legal rights and policies regarding the disclosure of your PHI. Our rights, allow Elevate Movement and Recovery to disclose your PHI in the course of treatment, billing/ collections and normal business operations (e.g. phone calls to remind of appointments, etc.). In the sharing of PHI, it is our policy to disclose only the minimum necessary amount to ensure adequate protection of your privacy. Your rights as a patient allow you to access your PHI, submit request for amendment of PHI, restrict additional access to your PHI and to make complaints regarding non-routine disclosure of PHI. Notice of Privacy Practices Acknowledgment Form In addition to reading the above summary, I have been offered a complete copy of the Notice of Privacy Practices for Elevate Movement and Recovery, and I have been offered an opportunity to review it.

Communication: You may receive informational messages such as appointment reminders, as well as promotional or marketing content related to our services. You may receive messages weekly or monthly. Message and data rates may apply. Text STOP to unsubscribe or HELP for assistance.

See our Privacy Policy for additional information.