Registration Form

Name
Name
Address *
Address
Phone *
Phone
Referral Address
GP Address
Referral Address
Self Referral
Any Serious Illness *
e.g. Cancer, Immune System, Organ Transplantation etc.
What?
When?
Which?
Terms & Conditions : Physio + Co has a 24-hour cancellation policy. While we understand that consultations and treatments may occasionally need to be changed or cancelled, out of consideration for other patients and for your therapist’s time, the following cancellation policies apply: • Please let us know at the earliest possible time, by email or phone, if you are unable to keep your scheduled appointment. • Appointments cancelled or changed, for any reason, without giving at least 24 hours’ notice will be charged.  • You will receive an invoice for your missed appointment. These charges are not covered by your health insurance. • Notification of cancellation is possible on weekends and public holidays (when the practice is closed) via the online booking system or by sending an email. If such notification is received and logged with more than 24 hours’ notice, no charge will be made.     • In the unlikely event that a therapist is unable to provide their services due to illness or events of force majeure, we will do everything possible to offer an alternative or notify you with more than 24 hours’ notice. However, we cannot guarantee this or provide compensation if your appointment has to be cancelled.  Payment Swiss health insurances will pay for physiotherapy if the sessions are prescribed by a physician (basic health insurance). The invoices for prescribed physiotherapy sessions will be sent straight to your health insurance or your accident insurance. If your deductible (“Franchise”) has been exceeded, your health insurance will charge you 10% of the physiotherapy costs (in accordance with usual practice). If your deductible has not yet been exceeded, your health insurance will charge you the full amount. Treatments not prescribed by a physician must be paid privately and will be billed on a monthly basis or, if preferred, can be paid in cash or by debit/credit card. Missed appointments  Should you be unable to attend a booked physiotherapy session, please notify us at least 24 hours in advance. Physio & Co GmbH will make every possible effort to offer you an alternative appointment. Kindly note that the costs for missed appointments or appointments cancelled too late may be charged to you. Your health or accident insurance will not cover these costs. For more details, please view our Cancellation Policies Information Physio & Co GmbH and its employees may request and view my medical records, and release information from my medical records to referring/aftercare physicians and therapists. Necessary data may also be forwarded for invoicing to the respective invoicing body (e.g. Ärztekasse) and/or, as the case may be, to an assigned debt-collection institution (“Inkasso”) or lawyer, or to the competent state authorities.