Understanding our policies keeps everyone on the same page. Please familiarize yourself with the way we operate.
It is no problem to cancel or reschedule you appointment through your Jane account as long as we have been given 24 hour notice. If sufficient notice is not provided then the opportunity to fill the appointment is lost by the practitioner, which is why we charge a no show fee of $45. You may have someone take your place in our schedule to fill the appointment at full price. You may also request to be added to our waiting list if you would like to be informed of cancelations to fill last minute spots.
late for an appointment
Due to the nature of scheduling appointments, if you arrive late then your appointment may be shortened in duration to reflect the time lost. We do include extra time in between clients to share recommendations, feedback or review health history and direct billing and depending on the situation we may be able to adjust the appointment accordingly. We will always do our best to be accommodating to our clients. Please try to communicate with us and don’t stress. An easy way to reach us is to call Phoenix Physical Therapy/That Yoga Place at (780) 960-0868 and reception will let us know your message.
filling out our intake forms
When you make a Jane account or call/text to book an initial appointment, an email will be sent prompting you to fill out our online intake forms. These forms include, personal information, insurance policy (if not applicable, select “none” in the drop down menu), health history, and our consents. It is an initial requirement to have these forms completed online through your Jane account before treatment begins. We can provide you with a computer before your treatment to fill them out in the clinic if required.
We have zero tolerance with regards to this policy. If this occurs, the session will be ended immediately, treatment paid in full, and client will not be welcome to reschedule. Their profile will be disabled in Jane, the client will be blacklisted. We do not offer services that are not listed. We do not engage in unethical behavior and we are never alone in the building. We have the right to refuse service at any time and take our safety seriously. That being said, bodily reactions and functions may be out of one’s control and not construed as sexual misconduct if managed respectfully. If we noticed this we would place a folded towel over the area. Our clients’ comfort and our own is our top priority. Prior to treatment a mandatory consent will be signed.
You are obligated to sign our consent:
The treatment is not to be construed sexual in any way. We have a strict sexual harassment policy and if our comfort limits are breached the session will be ended immediately, treatment payed in full, and the client would not be welcome to rebook as their profile would be disabled in Jane. We have the right to refuse service at any time and to engage law enforcement if necessary.
direct billing consent
In order for us to direct bill for you, you must sign our consent:
I authorize the Provider to:
I. electronically submit claims (eClaims) for healthcare goods, supplies or services for me or my dependent(s) to my insurance company on my behalf of my dependents
i. for the purpose set below (see The Purposes) and
ii. to the relevant parties set bellow
II. disclose information about the e-claim (including personal health information in the provider’s files) to your insurance company.
For any eClaims made on behalf of my dependents and for the purpose set out in this form, I confirm that my dependents authorize me to consent to the disclosure of their personal information to your insurance company.
The Purpose: I consent and agree that my insurance company may collect, use and disclose the eClaims information to
I. adjudicate, review and audit eClaims;
II. investigate any suspect claims involving potential fraud or plan abuse (“suspect claims”); and
III. underwrite and administer fraud or plan abuse.
Relevant parties I also consent and agree that my insurance company may collect, use and disclose the eClaims information with relevant parties. These parties include persons or organizations having relevant information and need to know about the eClaim including:
I. the Provider or other health practitioners;
II. clinics, facilities, hospitals or other institutions; and
III. other insurers.
Fort suspect claims, I further consent and agree that my insurance company and its reinsurers may collect, use and disclose eClaims information with relevant parties that include;
I. investigate agencies and the police
II. regulatory bodies or associations
III. government organizations
IV. medical suppliers
V. other insurers
VI. my Plan Sponsor.
Overpayments If there is an overpayment, I authorize:
I. the recovery of the full amount of the overpayment from any amount payable to me under the Plan; and
II. your insurance company to collect, use and disclose information about the eClaims with collection agencies.
General Information I also understand information pertaining to eClaims may be reviewed if the Plan is audited. Any reference to your insurance company or the Plan Sponsor includes their agents and service providers Assignment of Benefits I assign the benefits payable for my and/or my dependents’ eClaim to the Provider.
I authorize my insurance company to issue payment directly to the Provider. I understand that:
I. I’m responsible for payment to Provider should my insurance company deny this eClaim
II. My insurance company is not required to accept this assignment
This Assignment will apply to all eligible eClaims provider submits electronically on my behalf until I revoke it in writing with reasonable notice to your insurance company. A photocopy or electronic version of this agreement will be as valid as the original. This assignment may remain in effect for the continued administration of the Plan.
sharing your information
You will be required to sign our privacy and sharing of information consent:
I authorize the clinic and its associated health professionals to collect my personal and medical information as documented above. In addition, I authorize the clinic and its associated health professionals to communicate with my family doctor and/or referring doctor as deemed necessary for my beneficial treatment. I also understand that my personal and medical information is confidential and will only be disclosed to third parties with my permission.
accuracy of information and scope of practice
You will be required to sign our accuracy of information and scope of practice:
Massage should not be performed under certain medical conditions; therefore I affirm that I have stated my known medical conditions and answered questions honestly. The treatment is not medical substitute and the practitioner cannot diagnose but rather will refer you to your family physician.
We do not provide WCB claims as our province does not have a regulatory body for massage therapy, so it is not yet recognized without special authorization from your WCB representative.
Initial assessment time is required if the claim has not been started by a chiropractor or physio therapist. Please inquire within prior to booking a MVA claim.