Terms and Conditions

We at Balmain Sports Medicine are dedicated to providing every patient with the highest standard of service. Please find listed below the pertinent terms and policies consistent with such standards within our practice.

Please understand that our policies aim to allow equality of service to all patients and it is not our intention to exclude anybody from being able to access our services. If any of the policy wordings needs further explanation, please feel free to discuss this with our office administration.

Disclaimer: Please note we reserve the right to change, add or remove any conditions in the stated policies as we feel necessary and appropriate or as impacted by associated regulatory bodies, to enable the most efficient and professional administration in our practice.

Referrals

  • for private fee patients a medical referral is required to see one of medical practitioners (sports physician, orthopaedic surgeon, rheumatologist); however it is not required  to see our health practitioners (physiotherapy, pilates, podiatry, massage therapy, dietetics, naturopathy).
  • if a referral has been provided, please ensure this is provided to the treating health practitioner, to assist in the continuity of care.
  • clients who are eligible for Compulsory Third Party (CTP) or Workcover funding must provide a medica lreferral (general practitioner, sports physician, orthopaedic surgeon) for treatment, as part of their claims process. However, there are certain other conditions that must be met before bulk billing can be arranged.
  • clients issued with Gold / White cards from the Department of Veterans Affairs (DVA) maybe eligible fro subsidised treatment when presenting with an appropriate medical referral, within the previous six months (in accordance with current DVA policy).

Billing & Accounts

  • it is expected that all fees are paid at the time of consultation.
  • we accept cash, cheques, EFTPOS, credit cards (excluding American Express & Diners).
  • if you have private health insurance, please bring your membership card to enable an immediate rebate for your convenience.
  • at the end of each month, a fully itemised account will be issued, with payment terms strictly 7 days. Failure to render full payment within these terms will result in your account being referred to our debt collecting agency. Any additional costs incurred will be added to your account.

Cancellation Policy

  • a 24 hour cancellation policy does apply to your consultation appointment times. Failure to provide 24 hours notice when changing appointments will result in normal consultation fees being charged.
  • if you are unable to attend your scheduled appointment, the practice will, when able, provide you with an alternative appointment time on your scheduled day of service, so as to avoid a cancellation fee being charged.

Late & Missed Appointments

  • clients arriving late to an appointment, but within their appointed time slot, may receive a shorter consultation in an effort not to inconvenience other client’s waiting.
  • clients who either arrive late, or miss an entire appointment, will be charged the full consultation fee.

Workers Compensation Claims

  • clients who believe they are eligible for Workcover Funding must ensure they satisfy the following criteria before requesting bulk billing:
  1. the injury occurred directly in relation to their current gainful employment.
  2. the injury has been reported to their employer and all necessary internal paperwork has been completed.
  3. you have seen an appropriate medical officer (general practitioner, sports physician, orthopedic surgeon) and have been referred to physiotherapy.
  • at your initial consultation, please present the following to our administration staff:
  1. a referral from your medical officer
  2. employer’s name and contact details
  3. your employers insurance company name
  4. your insurance claim number (if it has been provided)
  • in the case of Workcover / CTP claims, the individual client will always be ultimately responsible for payment of all accounts, in the event the involved Insurer does not accept financial liability for our services provided.
  • we reserve the right to discontinue providing treatment through Workcover / CTP funding if we feel a claimant is acting fraudulently or demonstrating non-compliance.
  • Compulsory Third Party (CTP) Claims
  • clients who believe they are eligible for Compulsory Third Party Insurance funding must ensure they satisfy the following criteria before requesting bulk billing:
  1. the injury occurred directly in relation to New South Wales motor vehicle accident.
  2. the injury has been reported to the police and all necessary paperwork has been completed.
  3. you have seen an appropriate medical officer (general practitioner, sports physician, orthopedic surgeon).
  4. a claim number has been issued to you by the involved insurance company.
  • at your initial consultation, please present the following to our administration staff:
  1. a referral form from your medical officer.
  2. your CTP Insurance company name and the claim number that has been provided to you.
  • the individual client will be required to pay all consultation fees involved until the claimant has been issued and verified by the relevant CTP insurance company.
  • we reserve the right to discontinue providing treatment through Workcover / CTP funding if we feel a claimant is acting either fraudulently or demonstrating non-compliance.

Privacy Policy

Balmain Sports Medicine does have a Privacy Policy Statement, with the practice bound by the Privacy and Personal Information Protection Act (1998) and the Privacy and Personal Information Protection Act (1998) and Health Records and Information Privacy Act (2002) and operates in accordance with the Code of Conduct of the Australian Physiotherapy Association.

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