Payment and Medical Insurance (if applicable)
You agree to take full responsibility for:
Remote Consultation Calls
Whatsapp video consultations are securely encrypted, however, it is your responsibility to ensure that you have adequate anti-spyware and anti-virus protection on the devices you use. Your are aware that mobile phones can only be as secure as any phone calls are on the mobile network. The consultation will not be digitally recorded, however, clinical outcomes will be recorded and stored on your patient records. You are aware that remote consultations are treated as any other consultation in which sensitive or confidential information is always safeguarded
Communicating (email, phone, post) with you regarding your physiotherapy care
To ensure that we provide you with efficient physiotherapy care, we use carefully selected and secure IT programmes, exercise prescription software, diary system and an external admin support company to input your data. These systems/companies do not share your data with any other third parties.
By consenting to this form, you also understand that certain communication is required as part of your on going treatment with us. You are also aware that your details my be passed to government contact and trace teams if it is deemed necessary.
Despite all measures being taken there is always an elevated risk of contractine COVID 19 simply by entering the clinic due to:
Measures to mitigate the above risks conducted by Omagh Physiotherapy
YOU MUST NOT ATTEND YOUR APPOINTMENT IF YOU:
Please notify Omagh Physiotherapy and Sport Injury clinic immediately by email : email@example.com or call 0288 224 9444. There will not be a late cancellation charge if you are unable to attend your appointment due to COVID 19 symptoms or if you are required to self-isolate.
If there is anything in this form you wish to discuss or have explained in more details, please do not hesitate to contact us on: 028 8224 9444