PATIENT AGREEMENT & WAIVER

Manual Therapy & Recovery Services
Portable Physical Therapy P.C. d/b/a Recovery Mode

Assumption of Risk
Recovery Mode provides manual therapy, infrared sauna, cold plunge, compression therapy, oxygen boost, breathwork coaching, mobility classes, and related wellness services. Participation involves inherent risks including heat exposure, cold exposure, physical exertion, slippery surfaces, soreness, or injury. Participation is voluntary.

Health Responsibility
You agree to consult with a physician or licensed healthcare provider before participating if you have medical concerns. You must inform staff of medical conditions, medications, pregnancy, injuries, or changes in health status.

Manual Therapy & Recovery Treatments
Services may include soft tissue mobilization, joint mobilization, sports massage, cupping, instrument-assisted therapy, stretching, and recovery modalities intended to support wellness, reduce pain, and improve function.

Potential Benefits
Possible benefits include improved mobility, strength, flexibility, circulation, and reduced discomfort.

Potential Risks
Temporary soreness, bruising, redness, inflammation, skin irritation, or aggravation of existing conditions may occur. If symptoms worsen or do not resolve, you agree to notify your provider.

No Guarantee of Results
Recovery Mode does not guarantee outcomes or cures. Treatment recommendations reflect professional judgment only.

Licensed Professionals
Services are performed by licensed physical therapists, assistants, acupuncturists or massage therapists authorized in New York State.

Minors
Participants under eighteen (18) require a legal guardian’s consent.

Media Consent
Photography or filming may occur only with consent. Once consent is granted, Recovery Mode retains rights to approved media.

Authorization
You authorize Portable Physical Therapy P.C. d/b/a Recovery Mode to provide services deemed appropriate. You certify that information provided is accurate and that you may refuse treatment at any time.

By booking, signing electronically, or participating in services, you acknowledge that you have read, understood, and agree to this Patient Agreement & Waiver.