SHARP
Physical Therapy & Health Consulting Patient Consent & Agreement
I understand that Kaye Sharp, Sharp Physical Therapy & Health Consulting (Provider) will maintain my privacy to the highest standards and may use or disclose my personal health information for the purposes of carrying out treatment, obtaining payment, evaluating the quality of services provided and any administrative operations related to treatment or payment. I agree to electronic communication with Provider including email and text messaging even though some of these messages may not be secure.
I do hereby agree and give my consent for Kaye Sharp (Provider) to furnish care and treatment that is considered necessary and proper in the diagnosing or treating of my physical condition.
I understand that Kaye Sharp (Provider) is not a provider for my health insurance and will not file any insurance claims on my behalf. I agree to be fully and wholly responsible for all payments to the Provider as agreed.
