If you are covered by worker’s compensation insurance and you fail to keep the appointments that are recommended by your therapist and physician, the appropriate parties need to be notified to your absence and will also be noted in your chart. This may include your physician, employer, insurance company, and case manager/rehabilitation nurse. Please understand that failure to actively participate in your rehabilitation program may have a negative effect on your worker’s compensation coverage.
For each NO-SHOW or CANCELLED visit, doctors, employers, and workman’s compensation will be notified. TWO no-shows and/or three cancelled visits will result in discharge from therapy and/ or you may be requiring an appointment with your physician for a new prescription. You WILL BE CHARGED a fee for every NO-SHOW or LAST MINUTE CANCELLATIONS.
We hope you take your therapy and recovery as seriously as we do.
Thank you for your assistance.
I have read and understand the above. I understand that attendance at each therapy session is important to my recovery and will notify my therapist if unable to attend a session so that it may be rescheduled.