WAves of wellness Pelvic Health: Policies

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Care is collaborative, consent-based, and client-led. You are always welcome to ask questions, set boundaries, take breaks, or pause or stop care at any time. Disclosure of personal or trauma history is never required to receive services.

Physical therapy services may include assessment, education, movement, manual techniques, and therapeutic exercise. While care is designed to be supportive and safe, responses such as temporary soreness, fatigue, or emotional discomfort may occur.

Participation in care is voluntary, and you may decline or withdraw consent for any aspect of treatment at any time.

Services are provided on a private-pay, out-of-network basis. I do not bill insurance directly and am not in-network with insurance plans.

Payment is due at the time of service. If requested, a superbill may be provided for clients seeking out-of-network reimbursement from their insurance provider. Reimbursement is not guaranteed and is determined solely by your insurance plan.

In accordance with Medicare guidelines, I am unable to provide physical therapy services to Medicare beneficiaries, as I am not enrolled with or connected to Medicare.

Services provided are not emergency care and are not a substitute for medical or mental health crisis services. If you are experiencing an emergency, please call 911 or seek immediate local assistance. 

Physical therapy services are provided at the following rates for 60-minute sessions:

• Virtual sessions: $155 per hour
   
• In-home sessions: $195 per hour
   

Payment is due at the time of service. Care Paths, packages, or multi-session offerings may require payment in full or according to a defined payment schedule.

In-home sessions include a defined local service area of 0–15 miles from Kapiolani Park. Appointments beyond this area incur an additional $25 travel fee per session.

For locations greater than 25 miles from Kapiolani Park, fees and scheduling will be discussed on a case-by-case basis by phone prior to booking.

Care Paths and multi-session offerings are discounted, structured experiences designed to support specific goals over a defined period of time. They are not intended to replace a full plan of care.

If a Care Path or package is refunded prior to completion, sessions already used will be charged at the full individual session rate:

• $155 per hour for virtual sessions  
• $195 per hour for in-home sessions  

Any remaining balance will be refunded accordingly. 

Care Paths:

• Are not intended as a comprehensive or ongoing plan of care  
• Do not guarantee specific outcomes  
• May not address all contributing factors to a condition  
• Are best suited for clients seeking focused, time-limited support  

Recommendations for additional or ongoing care may be made based on individual needs. 

Completion timeframe: All sessions in a Care Path must be completed within the designated timeframe unless otherwise agreed upon with the Physical Therapist 

Appointments require advance notice to cancel or reschedule. Fees are applied as follows:

Single Sessions (60 minutes):

• Less than 24 hours’ notice or no-show: 100% of session fee ($155 virtual / $195 in-home)
   
• 24–48 hours’ notice: 50% of session fee
   
• More than 48 hours’ notice: No fee
   

Care Paths / Multi-Session Packages:

• Less than 24 hours’ notice or no-show: Full session fee applies ($155 virtual / $195 in-home)
   
• 24–48 hours’ notice: The session may be rescheduled within the Care Path once per Care Path. Sessions canceled 24–48 hours more than once will be forfeited and are not refundable
   
• More than 48 hours’ notice: Session may be rescheduled according to the Care Path plan without penalty
   

If a Care Path is discontinued early, any refund (if applicable) will be calculated based on full individual session rates for sessions already used. Exceptions may be considered at the provider’s discretion.

Session time is reserved specifically for you. Late arrivals (for in-home & virtual sessions) may result in a shortened session to respect scheduled appointment times. 

For in-home visits, clients are asked to provide a safe, smoke-free environment with adequate space for movement. Pets should be secured during sessions. Sessions may be ended if safety cannot be reasonably ensured. 

 Virtual sessions are provided via secure, HIPAA-aligned platforms. Virtual care has limitations compared to in-person services and may not be appropriate for all concerns. Clients are responsible for ensuring a private, safe space during virtual sessions. 

Scheduling and non-urgent questions may be directed via email or designated scheduling platforms. Clinical advice is not provided via social media or text. Response times may vary outside of business hours.

Services are provided by a licensed Physical Therapist in the State of Hawaii.