Thank you for choosing Obsidian Insight

The information below highlights a few key aspects of working together and is meant to help you understand the structure of care before signing the full Patient Agreement.Please review the full Patient Agreement for complete details.

Patient Agreement

My Approach to Care

  • Physical therapy services are provided within my professional scope of practice. When medical evaluation or treatment is needed, patients may be referred to appropriate medical providers.

  • These services emphasize education, lifestyle guidance, and ongoing support.

  • I do not practice medicine or diagnose medical conditions

Insurance & Medicare

  • My subscription “Exam Services” are not covered by insurance.

  • These fees cannot be submitted to Medicare or insurance

  • If medically necessary services are provided that qualify for insurance billing, those services may be addressed separately when appropriate.

Membership & Fees

  • Membership is paid directly by the patient

  • The first 3 months of subscription fees are non-refundable.

  • The agreement renews annually unless canceled within 30 days of notice

  • Services are designed to qualify for eligibility to use HSA, FSA, HRA, or similar funds, or via employer funding, but this qualification is not assured or promised.

Integrative / Hormone / Functional Testing (If Applicable)

  • Some services involved education around integrative care.

  • Any prescriptions should be managed by your licensed provider.

  • There are risks and no guarantees of outcomes

Communication Agreement

  • We may use email, text, or electronic messaging

  • These platforms are not 100% secure

  • Do NOT use electronic communication for emergencies: CALL 911

Privacy Agreement

Membership

  • You are receiving my HIPAA Notice of Privacy Practices.

  • I protect your health information according to federal law.

Membership

  • $425/month or $4900 annually

  • Includes up to 2 visits per month

  • Messaging access between visits

  • Ongoing care plan adjustments

Additional Visits

  • $200 / visit

Billing

  • Membership renews each month

  • Payment method kept on file

Cancellation

  • Membership can be canceled after 3 months with 30 day written notice

Appointment Policy

  • Late cancellations or missed visits my count as used visit

This document is only a summary. Please review the full agreement before signing.