Terms & Conditions

Last updated: August 2026

Jump to: Website Terms of Use · Informed Consent (English) · Ingeligte Toestemming (Afrikaans)

Website Terms of Use

These terms govern your use of the Peak Physiotherapy website. By using this site, you agree to them.

Information on this site

The content on this website is provided for general information about our services. It is not medical advice and should not be used to diagnose or treat any condition. Always consult a qualified healthcare professional about your individual circumstances. Booking or contacting us does not create a practitioner-patient relationship until you are formally assessed.

No guarantees of outcome

Physiotherapy outcomes vary between individuals. Nothing on this site should be taken as a promise or guarantee of any particular result.

Bookings and cancellations

Appointment bookings are subject to availability and our cancellation arrangements, which we will explain when you book. [Confirm your cancellation policy here.]

Intellectual property

The content, branding, and design of this site belong to Peak Physiotherapy unless otherwise stated, and may not be reproduced without permission.

External links

This site may link to third-party websites (for example, our booking system). We are not responsible for the content or practices of those sites.


This is the practice's own informed consent and terms and conditions document, provided at the start of a patient's care. It is reproduced below with its legal wording unchanged, formatted for reading on the web.

1. Consent to Physiotherapy Treatment and Physical Exposure

I, the undersigned patient, hereby voluntarily consent to physiotherapy assessment and treatment provided by James Harris Physiotherapy, rendered by a registered physiotherapist in accordance with the scope of practice prescribed by the Health Professions Council of South Africa (HPCSA).

I understand that physiotherapy is a hands-on healthcare profession which may involve physical contact, manual techniques, assisted movement, and the exposure of certain body areas for the purposes of assessment and treatment.

I expressly consent to the exposure of relevant body areas where clinically necessary. I acknowledge that all reasonable steps will be taken to respect my privacy, dignity, and comfort at all times.

I understand that I may ask questions, decline specific techniques, withdraw consent, or discontinue treatment at any stage without prejudice to future care.

2. Informed Consent and General Risk Disclosure

I acknowledge that physiotherapy treatment, like any healthcare intervention, carries inherent risks. These risks may include, but are not limited to:

  • Temporary muscle soreness, stiffness, or discomfort
  • Bruising or minor soft tissue irritation
  • Temporary aggravation of existing symptoms
  • Fatigue, dizziness, light-headedness, or mild nausea
  • Skin irritation or allergic reactions to tapes, gels, electrodes, or other treatment materials

I understand that no specific outcome, level of improvement, or cure can be guaranteed and that individual response to treatment may vary.

3. Consent to Physiotherapy Modalities

I understand and consent that my treatment plan may include, but is not limited to, the following physiotherapy modalities:

  • Manual therapy, including joint mobilisations and manipulations
  • Therapeutic and rehabilitative exercise
  • Dry needling
  • Electrotherapy (including TENS, EMS, and Interferential Therapy)
  • Ultrasound therapy
  • Laser therapy
  • Shockwave therapy
  • Strapping and taping techniques
  • Lymphatic drainage therapy (manual and/or machine-assisted)
  • Respiratory and chest physiotherapy
  • Movement, posture, and biomechanical analysis

4. Dry Needling – Specific Informed Consent

I acknowledge that dry needling involves the insertion of fine, sterile needles into muscle tissue as part of physiotherapy treatment.

I understand the potential risks associated with dry needling, which may include pain during or after treatment, bleeding, bruising, infection, dizziness, fainting, nerve irritation, and, in very rare cases, pneumothorax.

I confirm that I have disclosed all relevant medical information to the physiotherapist, including pregnancy, bleeding disorders, use of anticoagulant medication, immune compromise, infection, or any other condition that may constitute a contraindication.

I consent to dry needling treatment where deemed clinically appropriate.

5. Responsibility for Disclosure of Medical Information

I acknowledge that it is my responsibility to provide complete, accurate, and up-to-date medical information. I understand that failure to disclose relevant medical history, conditions, symptoms, or medication use may compromise the safety and effectiveness of treatment, and I accept responsibility for any consequences arising from such non-disclosure.

6. Consent to Use and Disclosure of Medical Records

I consent to the collection, use, and disclosure of my medical records and personal health information where clinically, administratively, or legally required. This may include disclosure to medical schemes, referring or treating healthcare practitioners, specialists, insurers, employers (where applicable), and administrative or billing service providers.

7. Protection of Personal Information (POPIA)

I consent to the collection, processing, storage, and protection of my personal and medical information in accordance with the Protection of Personal Information Act (POPIA). I understand that reasonable technical and organisational measures will be implemented to safeguard my information and maintain confidentiality.

8. Fees, Medical Aid Claims, and Patient Liability

I understand and agree that James Harris Physiotherapy is a private healthcare practice and that services rendered are billed directly to me as the patient.

I acknowledge that the submission of claims to a medical aid scheme is done as a courtesy only and does not constitute a guarantee of payment.

I understand that medical aid schemes may partially reimburse, decline, or adjust claims in accordance with their own rules, tariffs, or benefit structures, which may change from time to time.

I expressly acknowledge and agree that I remain fully and personally responsible for payment of the full account, including any shortfall, co-payment, excess, or amount not paid by the medical aid for any reason whatsoever.

9. Payment Terms and Legal Costs

All accounts are payable within 30 (thirty) days from the date of invoice.

Accounts not settled within the stipulated period may result in additional charges being levied in accordance with applicable regulations.

In the event of non-payment, I accept responsibility for all reasonable legal, collection, and recovery costs incurred in pursuing the outstanding balance.

10. Telephonic and Virtual Consultations

I acknowledge that telephonic, online, or virtual consultations constitute professional healthcare services and may be billed separately at the applicable tariff.

11. Final Acknowledgement and Consent

I confirm that I have read, understood, and voluntarily accepted the terms and conditions set out in this document. I acknowledge that I have had the opportunity to ask questions and that all such questions have been answered to my satisfaction.

I voluntarily consent to physiotherapy assessment and treatment under the terms outlined above.


Hierdie is die praktyk se eie ingeligte toestemming- en terme en voorwaardes-dokument, verskaf aan die begin van 'n pasiënt se sorg. Dit word hieronder weergegee met die regstaal onveranderd, slegs opgemaak vir aanlyn lees.

Toestemming tot Fisioterapie Behandeling en Liggaamlike Blootstelling

Ek, die ondergetekende pasiënt, gee hiermee my vrywillige en ingeligte toestemming tot fisioterapie-assessering en behandeling gelewer deur James Harris Physiotherapy, soos uitgevoer deur 'n geregistreerde fisioterapeut binne die bestek van praktyk soos bepaal deur die Gesondheidsberoeperaadsraad van Suid-Afrika (HPCSA).

Ek verstaan dat fisioterapie 'n hande-aan gesondheidsberoep is wat fisiese aanraking, manuele tegnieke, geassisteerde beweging en die blootstelling van sekere liggaamsdele kan vereis vir doeltreffende assessering en behandeling.

Ek gee uitdruklike toestemming dat relevante liggaamsdele ontbloot mag word waar dit klinies nodig is. Ek verstaan dat redelike stappe geneem sal word om my privaatheid, waardigheid en gemak te alle tye te beskerm.

Ek verstaan dat ek te eniger tyd vrae mag vra, sekere tegnieke mag weier, my toestemming mag terugtrek of behandeling mag staak, sonder nadelige gevolge vir toekomstige sorg.

2. Ingeligte Toestemming en Algemene Risiko-openbaring

Ek bevestig dat ek ingelig is dat fisioterapie, soos enige ander gesondheidsorgintervensie, sekere inherente risiko's inhou. Hierdie risiko's kan onder andere die volgende insluit:

  • Tydelike spierpyn, styfheid of ongemak
  • Kneusing of ligte sagteweefsel-irritasie
  • Tydelike verergering van bestaande simptome
  • Moegheid, duiseligheid, lighoofdigheid of ligte naarheid
  • Velirritasie of allergiese reaksies op tape, gels, elektrodes of ander behandelingsmateriaal

Ek verstaan dat geen spesifieke uitkoms, verbetering of genesing gewaarborg kan word nie en dat reaksie op behandeling van persoon tot persoon kan verskil.

3. Toestemming tot Fisioterapie Behandelingsmodaliteite

Ek verstaan en stem in dat my behandelingsprogram, waar klinies toepaslik, onder andere die volgende mag insluit:

  • Manuele terapie, insluitend gewrigsmobilisasies en manipulasies
  • Terapeutiese en rehabilitatiewe oefening
  • Dry needling
  • Elektroterapie (insluitend TENS, EMS en Interferensiële Terapie)
  • Ultraklankterapie
  • Laserterapie
  • Shockwave therapy
  • Strapping en taping
  • Limfatiese dreinering (handmatig en/of masjien-gebaseer)
  • Asemhalings- en borsfisioterapie
  • Bewegings-, postuur- en biomeganiese analise

4. Dry Needling – Spesifieke Ingeligte Toestemming

Ek erken dat dry needling die gebruik van fyn, steriele naalde behels wat in spierweefsel ingebring word as deel van fisioterapiebehandeling.

Ek verstaan dat die moontlike risiko's hiervan onder andere kan insluit pyn tydens of na behandeling, bloeding, kneusing, infeksie, duiseligheid, floutes, senuwee-irritasie en, in uiters seldsame gevalle, pneumotoraks.

Ek bevestig dat ek alle relevante mediese inligting aan die fisioterapeut bekend gemaak het, insluitend swangerskap, bloedingsafwykings, die gebruik van bloedverdunnende medikasie, infeksies, of enige ander toestande wat as kontra-indikasies beskou kan word.

5. Verantwoordelikheid vir Mediese Inligting

Ek erken dat dit my verantwoordelikheid is om volledige, akkurate en op-datum mediese inligting te verskaf. Ek verstaan dat die versuim om relevante inligting bekend te maak die veiligheid en doeltreffendheid van behandeling kan beïnvloed en aanvaar aanspreeklikheid vir enige gevolge wat daaruit mag voortspruit.

6. Toestemming tot Gebruik en Deel van Mediese Rekords

Ek gee toestemming dat my mediese rekords en persoonlike gesondheidsinligting gebruik en gedeel mag word waar dit klinies, administratief of wettig nodig is. Dit kan die deel van inligting met mediese fondse, verwysende of behandelende gesondheidsorgpraktisyns, spesialiste, versekeraars, werkgewers (waar van toepassing) en administratiewe of rekeningkundige diensverskaffers insluit.

7. Beskerming van Persoonlike Inligting (POPIA)

Ek gee toestemming dat my persoonlike en mediese inligting ingesamel, verwerk en gestoor mag word in ooreenstemming met die Wet op die Beskerming van Persoonlike Inligting (POPIA). Ek verstaan dat redelike tegniese en organisatoriese maatreëls getref sal word om my inligting veilig en vertroulik te hanteer.

8. Fooie, Mediese Fonds Eise en Pasiënt Aanspreeklikheid

Ek verstaan en aanvaar dat James Harris Physiotherapy 'n privaat gesondheidsorgpraktyk is en dat alle dienste direk aan my as pasiënt gefaktureer word.

Ek erken dat die indiening van eise by 'n mediese fonds slegs as 'n hoflikheid geskied en geen waarborg van betaling inhou nie.

Ek verstaan dat mediese fondse eise gedeeltelik mag vergoed, mag verminder of mag afwys, en dat vergoeding geskied volgens hul eie reëls, tariewe en voordele wat van tyd tot tyd kan verander.

Ek erken en aanvaar uitdruklik dat ek ten volle en persoonlik verantwoordelik bly vir betaling van die volle rekening, insluitend enige tekort, bybetaling, of bedrag wat nie deur die mediese fonds betaal word nie, ongeag die rede.

9. Betalingsvoorwaardes en Regskoste

Alle rekeninge is betaalbaar binne 30 (dertig) dae vanaf faktuurdatum.

Rekeninge wat nie binne die voorgeskrewe tydperk vereffen word nie, mag aanleiding gee tot addisionele kostes soos toegelaat deur toepaslike wetgewing.

In geval van wanbetaling aanvaar ek aanspreeklikheid vir alle redelike regskoste, invorderingskostes en herwinningsuitgawes wat aangegaan mag word om die uitstaande bedrag te verhaal.

10. Telefoniese en Virtuele Konsultasies

Ek verstaan dat telefoniese, aanlyn of virtuele konsultasies as professionele gesondheidsdienste beskou word en afsonderlik gefaktureer mag word teen die toepaslike tarief.

11. Finale Erkenning en Toestemming

Ek bevestig dat ek hierdie dokument volledig gelees en verstaan het. Ek bevestig verder dat ek die geleentheid gehad het om vrae te vra en bevredigende antwoorde ontvang het.

Ek gee hiermee my vrywillige en ingeligte toestemming tot fisioterapie-assessering en behandeling ingevolge bogenoemde terme en voorwaardes.


Contact

Questions about this page can be sent to james@peakphysio.co.za.

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