Company Terms and Conditions (T&C’s):
Please note that we kindly ask for a minimum of 24 hours notice for re-scheduling or cancelling appointments within south west podiatry clinic.
I understand that failure to provide 24 hours notice will incur a charge of 100% of the appointment cost. This is subject to discretion and in line with the South West podiatry No Show policy.
I understand that personal information is confidential and will be used for no other purpose than my medical record and to comply with legal and regulatory requirements of Royal College of Podiatry, Health Care Professions Council and ICO.
South West Podiatry are members of the ICO with processes in line with EU and GDPR regulations. As a medical facility your medical and personal data is securely stored for a minimum of 7 years and no paper records are held.
I hereby request and consent to podiatry treatment and consultation. I give the podiatrist permission to perform, necessary examinations and assessments, as well as diagnostic procedures and treatments as may be deemed necessary, in order to provide me with the best quality service.
I understand that all services provided by the clinic are non-refundable. If you have any concerns about your treatment, please email firstname.lastname@example.org and we will take reasonable steps to resolve your concerns.
I consent to photographs, videos and audio to be taken by the podiatrist and/or anyone working in this clinic authorised by South West Podiatry. Photographs are occasionally uploaded to our secure practice management software system and stored for future reference.
I allow and consent to the Podiatrist to send a report to associated allied health professionals and my GP, when required, regarding my examination and treatment plan. Please inform your clinician if you do not wish South West Podiatry to send consultation letter correspondence to your GP or mutual allied health professional.
I understand and am informed that, as in all health care, in the practice of podiatric medicine, there are some risks to treatment. I do not expect the Podiatrist to be able to anticipate and explain all risks and complications and I wish to rely on the podiatrist and consent for the clinician to exercise judgement during treatment.
Our clinicians use a shared decision-making approach to your care, gaining verbal informed consent for treatment. We may also request formal consent for advanced procedures.
You should receive an SMS and Email confirmation at the time of booking and 24 hours prior to your appointment. If you have not received confirmation of your appointment, you may not be booked. Call 02071646607 to confirm if you are unsure.
If you would like any further information or would like to cancel your appointment outside of the 24-hour notice period, please contact us on email@example.com or 020 7164 6607
As a new patient you will be asked to complete a digital consent form, you would be digitally signing and agreeing to the above statements in line with South West Podiatry’s terms and conditions. If you have any questions about the above please contact us. We may not be able to review you within our clinic if you fail to complete and submit this form.