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FINANCIAL AGREEMENT

YOU ARE FINANCIALY RESPONSIBLE FOR ALL SERVICES RENDERED. PAYMENT IS TO BE MADE IN FULL AT THE TIME OF THE VISIT. IF REQUESTED BY YOU, WE WILL PROVIDE YOU WITH A RECEIPT OF PHYSICAL THERAPY SERVICES THAT YOU CAN SUBMIT TO YOUR INSURANCE COMPANY TO REQUEST REIMBURSEMENT.

24 HOURS CANCELLATION POLICY

YOU WILL BE CHARGED FOR MISSED APPOINTMENTS AND CANCELLATIONS WITH LESS THAN 24 HOURS NOTICE.