This agreement outlines the responsibilities of patients receiving treatment at Movement and Wellbeing Clinic under an insurance policy.

By signing this agreement, you acknowledge and agree to the following terms:

• You are receiving treatment at Movement and Wellbeing Clinic and intend to use your insurance policy to cover the costs of your sessions.
• You understand that while we will invoice your insurance provider directly, the final responsibility for payment rests with you.

• If your insurance provider fails to pay for any part of your treatment, or if there is any excess payment or shortfall, you are responsible for paying the outstanding balance.
• You agree to settle any unpaid amounts promptly upon notification from the Movement and Wellbeing Clinic.

• Any excess, co-payment, or deductible required by your insurance policy remains your responsibility and must be paid directly to the clinic.

By signing below, you confirm that you have read, understood, and agree to these terms and conditions.

Movement and Wellbeing Clinic
Ground Floor, 15 Oxford Court, Manchester M2 3WQ
Email: info@movementandwellbeingclinic.co.uk
Phone: 0161 236 3726