Please read and agree to the policies & procedures here:​

​Group Classes are not Physical Therapy

Although The Broadway PT's staff are licensed physical therapists, the Group Classes are neither physical therapy nor any licensed service. This means that our work together during the Group Classes does not create a provider-patient relationship between you and us. The Group Classes, including related techniques, poses, postures, routines, and exercises, may not be appropriate for everyone. If you have concerns about a medical condition, please schedule an appointment with us or with another medical provider. The Group Classes are not a substitute for medical advice.​​​

 

Your Representations and Warranties

You represent and warrant that you: (i) understand that Group Classes has multiple other participants; (ii) understand your physical condition and capabilities; (iii) believe you are physically capable of safely participating in Group Classes Course; (iv) agree that it is your obligation to immediately discontinue further participation in Group Classes if you believe any condition to be unsafe; and (v) within the three months preceding the dates of completion of this form, you have had no injuries, including fractures, broken bones, or otherwise, and no injuries to your head, including concussion, headaches, or fainting spells. If you experience any of these injuries in the future, you will immediately cease your participation in Group Classes.

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General Assumptions and Indemnification

If you feel unsafe or uncomfortable during the exercise components of Group Classes, you agree to immediately stop. You alone are responsible for doing what is necessary to make yourself feel safe and comfortable, including stopping if necessary. You understand that it is your obligation to inform The Broadway PT if you do not feel able to continue with Group Classes. You are aware of the physical nature and possible risks of bodily injury including, permanent disability, paralysis, and death (“Risks”). You represent that you are physically capable of fully and safely participating in Group Classes.

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We are not responsible for any injuries that you sustain from participating in or attending Group Classes. During Group Classes, we may suggest or demonstrate an exercise, stretch, or technique, but it is your sole responsibility to ascertain if such behavior is consistent with your ability and safe for you to perform.

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You expressly waive any claim for any injury at any time related to your participation in or attendance at Group Classes against us. As a condition of participation in Group Classes, you agree to indemnify us against all claims, liabilities, losses, damages, suits, costs, and expenses, including reasonable attorney’s fees, relating to Group Classes. You further agree to assume all risk of property damage, injury, and death associated with Group Classes or your participation in Group Classes.

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Payment and Cancellation Policy

We require payment at the time of booking. Group Classes are not paid by insurance. Thus, your insurance will not cover or provide you reimbursement for any portion of the Group Classes. Please remember that you are solely responsible for cancellation fees.

When you book, we have reserved a spot for you in the Group Classes. If you need to cancel your participation in a Group Class session, please contact us during business hours and at least 24 hours prior to your scheduled Group Class session to avoid a $15.00 late cancellation fee. If you cancel without providing the proper notice, or if you fail to arrive for a scheduled Group Class, you will be charged the $15.00 to the card on file.

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​Agreement and Informed Consent

Your signature below confirms your understanding of and agreement to the below statements:

→ Agreement to Terms: You have read and understand this entire document and agree to be bound by each and every part, have truthfully and to the best of your knowledge provided the information requested, and agree to update us of any changes to your health.

→ Informed Consent: You acknowledge and agree that you consent to participate in Group Classes.

Before you can participate in the option(s) you selected, you must acknowledge and agree that you: (i) understand that Group Classes is not a medical service, and is not intended to diagnose, cure, or treat any illness; (ii) assume all risk of participation in Group Classes; and (iii) will indemnify us for any loss, damage, or injury incurred during the course of participating in Group Classes, to the extent permitted under the law.

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As provided above, we have explained Group Classesto you, as well as the material risks, benefits, and alternatives. You, the undersigned, agree and acknowledge that (i) S3 may not have the results that you expect or desire; and (ii) you have not been given any guarantees about the outcome of Group Classes.

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You have been offered ample time and opportunity to discuss your concerns, and all of your questions have been answered to your satisfaction. This document may be electronically signed through an online portal. Electronic signatures are the same as handwritten signatures for the purposes of validity.