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.