
POLICIES
Physical Therapy Informed Consent & Liability Waiver
I acknowledge that Physical Therapy classes may involve strenuous activity and exertion, and that, like any form of exercise, there is an inherent risk of injury. By initialing below, I consent to participate in these classes, fully understanding and accepting all responsibility for any risk of harm, injury, or damage that may result.
I hereby release First Ray Physical Therapy and Pilates, its trainers, employees, owners, and the owners of the property where the classes are held (collectively, "Released Parties") from any and all liability for loss, damage, injury, or expense to me or my next of kin that may arise from my participation in the Pilates classes. This includes any claims related to passive or active negligence on the part of the Released Parties. I further agree to relinquish any claims, lawsuits, demands, or actions against the Released Parties.
I also agree to release the Released Parties from liability for any loss, theft, or damage to my property that may occur while on the premises where Pilates classes are held.
I understand that it is advisable to consult with a physician before engaging in new or strenuous physical activities, especially if I have known health risks, chronic health conditions, or new or chronic injuries. If I am pregnant or in the postpartum period, I agree to obtain verbal or written permission from my healthcare provider prior to participating in the classes.
I grant permission to the Released Parties to use any photographs or video recordings of me and my likeness for any purpose, including advertising, in print or online, indefinitely.
If any part of this agreement is found to be invalid, the remaining provisions shall remain in full force and effect.
Pilates Informed Consent & Liability Waiver
I acknowledge that Pilates classes may involve strenuous activity and exertion, and that, like any form of exercise, there is an inherent risk of injury. By initialing below, I consent to participate in these classes, fully understanding and accepting all responsibility for any risk of harm, injury, or damage that may result.
I hereby release First Ray Physical Therapy and Pilates, its trainers, employees, owners, and the owners of the property where the classes are held (collectively, "Released Parties") from any and all liability for loss, damage, injury, or expense to me or my next of kin that may arise from my participation in the Pilates classes. This includes any claims related to passive or active negligence on the part of the Released Parties. I further agree to relinquish any claims, lawsuits, demands, or actions against the Released Parties.
I also agree to release the Released Parties from liability for any loss, theft, or damage to my property that may occur while on the premises where Pilates classes are held.
I understand that it is advisable to consult with a physician before engaging in new or strenuous physical activities, especially if I have known health risks, chronic health conditions, or new or chronic injuries. If I am pregnant or in the postpartum period, I agree to obtain verbal or written permission from my healthcare provider prior to participating in the classes.
I grant permission to the Released Parties to use any photographs or video recordings of me and my likeness for any purpose, including advertising, in print or online, indefinitely.
If any part of this agreement is found to be invalid, the remaining provisions shall remain in full force and effect.
Insurance
We do not accept insurance directly. However, our physical therapy services may be eligible for out-of-network insurance coverage if you obtain a prescription from a healthcare provider. We can provide you with a detailed superbill, including diagnosis and procedure codes, which you can submit to your insurance company for reimbursement.
CONTACT US
First Ray Physical Therapy and Pilates
Serving Lynbrook, NY, and Surrounding Areas
Tel: 516-284-6682
Email: firstrayptpilates@gmail.com
Studio Hours:
Monday: 9am - 9pm
Tuesday: 9am - 9pm
Thursday: 9am - 9pm
Sunday:10am -12pm
