The Health Insurance Portability and Accountability Act (HIPAA) provide safeguards to protect your privacy. Implementation of HIPAA requirements officially began on April 14, 2003.
Assignment of Benefits: I assign all benefits to Excel Physical Therapy, Inc. I authorize release of records to any agency involved in the payment of treatment for the patient named below. I understand in the event that collection is necessary, I am responsible for all collection and attorney fees accrued on my account
No Show Cancellation Policy
There will be a $25 fee charged to your account for any no shows or for appointments not cancelled at least 24 hours prior to the appointment