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Aged Care Assessment request

Initial Aged Care Physiotherapy Assessment Request

Initial Aged Care Physiotherapy Assessment Request

The "Initial Aged Care Assessment Request" is a document utilized by Fizzio Clinics for both new and returning clients, as well as their families, to request private physiotherapy services within a residential aged care setting.

Resident Information

Consent Provider Information

Consent


Components of the Initial Assessment

  1. Physical Examination: A thorough evaluation of strength, flexibility, balance, endurance, and mobility.
  2. Medical History Review: Analysis of past and present medical conditions, surgeries, medications, and any physiotherapy treatments received.
  3. Functional Assessment: Understanding the resident's daily activity levels and any challenges faced in routine tasks.
  4. Risk Evaluation: Identifying any risks associated with falls, pain, or other conditions that could impact therapy.

 

Expected Outcomes of the Assessment

  • Benefits: Accurate diagnosis, personalised treatment planning, identification of potential risk factors, and establishing realistic therapeutic goals.
  • Risks: Minimal, primarily involving the discomfort that may arise during the physical examination.

Financial Consent

Informed financial consent at Fizzio Clinics is a critical element of our care delivery process, ensuring that clients and their families fully know the costs associated with the physiotherapy services provided in residential aged care facilities.

This includes clear communication of fees for initial consultations, subsequent treatment sessions, and the duration and frequency of treatment cycles. Clients are informed that standard treatments are typically 30 minutes, with variations depending on the client's condition on the day.

Additionally, our cancellation policy upholds a firm commitment to respecting the time and resources of our clinicians. We offer an email and SMS confirmation and reminder system to facilitate appointment management.

Cancellations with more than 24 hours notice do not incur a fee. However, appointments cancelled within 24 hours may attract a cancellation fee, particularly in cases of no-shows or late cancellations.

Medicare and DVA do not cover fees for missed appointments, and such charges become the client's responsibility.

We understand that emergencies can arise, and we apply discretion in these instances. However, repeated failures to attend scheduled appointments without proper notice may require pre-payment for future services to ensure clinic efficiency and availability.

 

Initial Consultation (Assessment & Planning): $110.00

 

Consent Statement


I, hereby provide my consent for to undergo an initial physiotherapy assessment and subsequent treatment at . I have been fully informed of the scope, potential benefits, and risks associated with the assessment, as well as the treatment's nature, benefits, risks, and financial obligations. I understand that this consent is voluntary and can be withdrawn at any time, and I affirm that I am duly authorised to grant this consent for the resident named herein. 

Sign Here

online booking - Manly

162 OCEANA TERRACE, MANLY
  1. Choose your Service type, for example, Physiotherapy. Please note there are many different service types if you are unsure, just pick Physiotherapy, and we’ll make the necessary adjustments.
  2.  Select the type of consultation. Again we’ll adjust if necessary
  3. Select the Practitioner
  4. Select a suitable time
  5. Fill in your details
  6. Complete the Booking

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online booking - redcliffe

33 BUCHANAN STREET, ROTHWELL
  1. Choose your Service type, for example, Physiotherapy. Please note there are many different service types if you are unsure, just pick Physiotherapy, and we’ll make the necessary adjustments.
  2.  Select the type of consultation. Again we’ll adjust if necessary
  3. Select the Practitioner
  4. Select a suitable time
  5. Fill in your details
  6. Complete the Booking

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online booking - newstead

27B DOGGETT STREET, NEWSTEAD
  1. Choose your Service type, for example, Physiotherapy. Please note there are many different service types if you are unsure, just pick Physiotherapy, and we’ll make the necessary adjustments.
  2.  Select the type of consultation. Again we’ll adjust if necessary
  3. Select the Practitioner
  4. Select a suitable time
  5. Fill in your details
  6. Complete the Booking

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online booking - taigum

274 ROGHAN ROAD, TAIGUM
  1. Choose your Service type, for example, Physiotherapy. Please note there are many different service types if you are unsure, just pick Physiotherapy, and we’ll make the necessary adjustments.
  2.  Select the type of consultation. Again we’ll adjust if necessary
  3. Select the Practitioner
  4. Select a suitable time
  5. Fill in your details
  6. Complete the Booking

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online booking - COORPAROO

398 CAVENDISH ROAD, COORPAROO
  1. Choose your Service type, for example, Physiotherapy. Please note there are many different service types if you are unsure, just pick Physiotherapy, and we’ll make the necessary adjustments.
  2.  Select the type of consultation. Again we’ll adjust if necessary
  3. Select the Practitioner
  4. Select a suitable time
  5. Fill in your details
  6. Complete the Booking

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online booking - yeronga

15 CANSDALE ST, YERONGA
  1. Choose your Service type, for example, Physiotherapy. Please note there are many different service types if you are unsure, just pick Physiotherapy, and we’ll make the necessary adjustments.
  2.  Select the type of consultation. Again we’ll adjust if necessary
  3. Select the Practitioner
  4. Select a suitable time
  5. Fill in your details
  6. Complete the Booking

THANK YOU