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Comprehensive Rehabilitation Program Agreement

Tom Hargreaves · Dec 2025 - May 2026

Dr. Sarah Chen

Signed

Comprehensive Rehabilitation Program Agreement

Service Provider

Dr. Sarah Chen

Sports & Rehabilitation Physiotherapist

info@chenphysio.com

Client

Tom Hargreaves

tom.hargreaves@email.com

Effective: December 2nd, 2025
Expires: May 1st, 2026

1. Services

The Service Provider agrees to provide a comprehensive post-surgical rehabilitation program following total right knee replacement, including initial assessment, fortnightly progress reviews, and up to 20 treatment sessions delivered over a 5-month period.

2. Duration

This agreement shall be effective from December 2, 2025 to May 1, 2026, covering a full rehabilitation cycle of approximately 20 treatment sessions over 5 months.

3. Compensation

The Client agrees to pay $640 per month for 5 months ($3,200 total). This includes all treatment sessions, home exercise programming, progress reports, and one discharge ergonomic consultation.

4. Cancellation Policy

Client may cancel with 14 days written notice. Unused sessions will be refunded at the per-session rate. Appointments cancelled without 24-hour notice will be charged at 50% of the session rate.

5. Clinical Records & Compliance

All clinical records and assessment data remain the property of Chen Physiotherapy & Rehab. The treatment program will be adapted in response to clinical progress and any changes in medical status. Client agrees to complete home exercise programs as prescribed between sessions.

Service Provider

Dr. Sarah Chen

Signature

Client

Tom Hargreaves

Signature

Signed on December 1st, 2025