Terms and Conditions

The term "informed consent" indicates that the potential risks, benefits, and alternatives of physical therapy treatment have been explained to me. I understand that the physical therapist offers a wide range of services and I will receive information at the initial visit regarding the treatment and options available for my condition(s). I will notify my practitioner if I am pregnant and/or have significant medical conditions. I understand I am encouraged to communicate with a physician the potential benefits and risks of treatment relevant to my pregnancy and/or other significant medical conditions that are not in the scope of physical therapy.

Benefits may include an improvement in my symptoms and an increase in my ability to perform my daily activities. I may experience increased strength, awareness, flexibility and endurance in my movements. I may experience decreased pain and discomfort. I should gain a greater knowledge about managing my condition and the resources available to me

I may experience an increase in my current level of pain or discomfort, or aggravation of my existing injury during physical therapy. This discomfort is usually temporary; if it does not subside in 48-72 hours, I agree to contact my physical therapist.

I understand that my physical therapist cannot make any promises or guarantees regarding a cure for or improvements in my condition. I understand that my physical therapist will share with me his opinions regarding potential results of physical therapy treatment for my condition and will discuss treatment options with me before I consent to treatment.

If I do not wish to participate in the therapy program, or if I have questions about the program, I should discuss my medical, surgical or pharmacological alternatives with my physician or primary care provider.

I, the patient, am fully responsible for payment of my account at the time services are provided.  If I have insurance that may reimburse me for some or all of the cost of the services I receive, Dr. Zachary Kaplan, PLLC will provide me with reasonable documentation which I may submit to my insurance carrier.  I understand that I am responsible for the cost of all services even if my insurance claims are denied.

In the event that I need to cancel a scheduled appointment, I agree to provide 24-hours' notice so that Dr. Kaplan can offer my appointment to other patients. I understand that if I fail to provide 24 hours' notice (by, for example, cancelling on the day of my appointment), I will be charged a fee of $25.00.  If I fail to cancel my appointment and do not provide any notification before my appointment ("no show"), I will be charged $50.00.  If I fail to provide at least 24-hours' notice of a cancellation more than two times, I understand that I will be subject to discharge from Dr. Zachary Kaplan, PLLC