19F Wellington St Patient Registration Form

If you are filling out this secure registration form outside of the clinic, please remember to call/ email to book your appointment details here  Alternatively, a reception staff will get in touch with you after receiving the form submission on the same working day, so just sit tight.

Patient Registration Form (19/F WS)

  • I declare that I fully agree to the use of my personal data, Privacy Policy, Terms and Conditions of Sports & Spinal Physiotherapy Centre Limited.
  • By signing this registration form, you declare that you fully agree to the Terms and Conditions and Privacy Policy of Sports & Spinal Physiotherapy Centre Limited. Conditions of Treatment:

    1. Missed Appointment Policy ----  If less than 24 hours notice is given for cancellation, a cancellation fee may be charged. Considerations will be given for unavoidable circumstances.

    2. A patient may be expected to remove certain articles of clothing to allow for detailed musculoskeletal assessment. Patient attire will be provided at the clinics.

    3. A patient is entitled to bring a chaperone if they so wish to.

    4. Please include any insurance information or via email to appt@sportsandspinal.hk

    5. By submitting your email address, you agree to be contacted via email about appointment confirmations, receive event invitations, e-newsletters.

    6. Physiotherapy treatment package – Physiotherapy treatment sessions purchased in package must be used by the expiry date indicated on the date of purchase. All packages are non-transferrable and non-refundable:

    Package Expiry
    Min 5 session 5 months
    Package of 10 6 months
    Package of 20 1 year
     
  • This field is for validation purposes and should be left unchanged.

By signing this registration form, you declare that you fully agree to the Terms and Conditions and Privacy Policy of Sports & Spinal Physiotherapy Centre Limited. Conditions of Treatment: 

1. Missed Appointment Policy –  If less than 24 hours notice is given for cancellation, a cancellation fee may be charged. Considerations will be given for unavoidable circumstances. 

2. A patient may be expected to remove certain articles of clothing to allow for detailed musculoskeletal assessment. Patient attire will be provided at the clinics. 

3. A patient is entitled to bring a chaperone if they so wish to. 

4. Please include any insurance information, or send via email to appt@sportsandspinal.hk

5. By submitting your email address, you agree to be contacted via email about appointment confirmations, receive event invitations, e-newsletters.

©2000-2021 ProHealth Sports and Spinal Physiotherapy Centres Hong Kong | Part of ProHealth Asia Healthcare Centres

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