Introduction Welcome to Liberty Physical Therapy & Performance. We are committed to providing personalized and effective physical therapy services. These Terms of Service outline the terms and conditions for using our services.

Scope of Services We offer a range of physical therapy services, including evaluations, treatment plans, and follow-up care. Our services are designed to meet your individual needs and goals. Please note that we do not provide emergency medical services.

Patient Responsibilities As a patient, you are responsible for:

• Providing accurate and complete health information.

• Attending scheduled appointments or notifying us in advance if you need to cancel or reschedule.

• Following the treatment plan and exercises prescribed by your therapist.

Payment Terms Our clinic operates as an out-of-network provider. You agree to pay the evaluation fee of $99 (minus any applicable discounts) at the time of your appointment, payable via HSA, FSA, card, or exact cash. Insurance reimbursement may be possible. If requested, I will provide you with a superbill or a receipt that includes the itemized physical therapy charges, which you can submit to your insurance company for potential reimbursement. Please note that we do not accept Medicare/Medicaid/VA insurance. If you have government-sponsored insurance, please contact us to discuss your options.

Plans of care will be discussed and finalized at the evaluation and/or at the first follow-up visit. My typical hourly rate is $250 per session; however, plans of care help to decrease that price for you. Additionally, I am a CareCredit provider, offering 6-month interest-free payment options if authorized by CareCredit application.

Confidentiality and Privacy We are committed to protecting your personal health information in compliance with all relevant privacy laws. Your information will be used only for providing you with the best care and will not be shared without your consent, except as required by law.

Cancellation and No-Show Policy We require 24 hours’ notice for appointment cancellations or rescheduling. Failure to provide adequate notice may result in a cancellation fee. No-shows may also incur a fee.

Liability and Risk Management While we strive to provide the highest quality care, physical therapy involves inherent risks. By using our services, you acknowledge and accept these risks. We are not liable for any injury or condition that may result from our services or your participation in our recommended exercises.

Governing Law These Terms of Service are governed by the laws of the State of Minnesota. Any legal actions arising from these terms must be brought in the appropriate court in Minnesota.

Changes to Terms We may update these Terms of Service from time to time. Any changes will be posted on our website and will take effect immediately upon posting.