We want you to know how your Patient Health Information (PHI) will be used in this office and your rights concerning your records. Please read the following carefully.
Your PHI will be used for the sole purpose of treatment, payment, healthcare operations, and coordination of your care. You have the right to examine and obtain a copy of your records at any time. You may request restrictions of use of your records at any time in writing. This request will only affect subsequent activity from the time of your request. Digitally signing the required forms leading to this page certifies your understanding, agreement, and consent of use of your PHI. Your written consent is required only once for all subsequent care given to you by In Sync Healing. You may revoke this consent at any time in writing. This will not affect the use of those records for care given prior to the written request to revoke consent but would apply to any care given after the request has been received.
Payment is due in full at time of service. Credit Card fees apply.
Cancellation/No Show Policy
We require 24 hours advance notice for all canceled appointments. We reserve the right to charge you for the Therapist’s time if you do not show up for your appointment. You will be charged a $35.00 fee for the first missed appointment and a $55.00 fee for every missed appointment after that.