Our Policies

Full Circle Pelvic Health is committed to providing the best treatment to all of our patients. Our policies and procedures are representative of customary policies for healthcare in our area. Additional precautionary procedures are in place for COVID-19 for the safety of our community. Please read carefully.

  • COVID-19 In Clinic Procedures
  • Policy pertaining to Insurance
  • Policy pertaining to Appointments
  • Policy pertaining to Patient Care
  • Policy pertaining to Children Accompanying Patients
  • Policy pertaining to HIPPA, cellphone,

COVID-19/Delta Variant In Clinic Procedures as of 2021

We are taking every measure to keep you and other patients safe during your visit to Full Circle Pelvic Health during time of Covid-19 Pandemic by implementing the following:


To Screen for fever, cough, and/or flu-like symptoms – Patients will be screened both at the time of booking and reminded the day before their appointments for any signs of fever, significant cough, and/or flu-like symptoms such as body aches, headache, weakness, fatigue.  If a patient is exhibiting any of these signs, their appointment should be canceled, and they will be instructed to call their primary care physician.  They will be instructed to reschedule their appointment for when they are afebrile and feel well again.

  • Temperature check – Patients are asked to check their temperatures the morning of their appointments. If their temperatures are over 100.4, they should NOT come to the office.
  • Recent exposure? – Anyone who has had a recent exposure to someone who tested positive for COVID-19 or the DELTA-Variant is asked to inform your therapist of your status and cancel appointment until you are asymptomatic.

Limit patient accompaniment by family members, friends, or children – Patients are encouraged to come to their appointments alone, or limit accompaniment to 1 person if accompaniment is necessary. Exceptions may be required (e.g. those who are frail or elderly who require help ambulating).  Exceptions will only be made when absolutely necessary and for the well-being being of the patient.


To Practice social distancing

  • We are making every effort to space our scheduling of patients to help minimize overlapping of patients. This will help minimize risk of patient-to-patient contact and allow time for sanitizing between patients.
  • Patients in the waiting room shall sit at least 3-6 feet apart from one another and will be provided seating in this manner. 
  • If there is not enough room for patients, patients will be asked to wait in their cars after check-in and can be called or texted when they will be seen next. 

To Maintain Sanitary Check-in Items

  • Pen and paper– We will provide clean pens for each patient. “Used pens” will be cleaned with approved antiseptic agents before being distributed for use again.  Alternatively, patients could bring their own pens, both for intake and for signatures on consent forms.
  • Clipboards and all countertops will be cleaned and wiped between direct patient contact.


Staff Surfaces (cellphones, mainline phones, light switches, keyboards, computer mouse) – Will be wiped clean at the beginning, throughout, and finally at the end of each day.

Surfaces frequently contacted by patients (door handles, countertops, chair arms)

  • All office door handles and countertops will be cleaned with antiseptic wipes approximately every 30-45 minutes or a minimum of every 4 hours.
  • Door handles and office countertops inpatient rooms and in the flow of patient traffic will be wiped clean with antiseptic agents after EVERY patient.

Face masks – Patients are required to wear face masks during office hours, to prevent touching of their faces, and potential transmission of asymptomatic infection to personnel and other patients.

Patient temperatures -may be taken by intake staff upon arrival to the office and documented if symptomatic

Encourage patients to wash hands – Patients are encouraged to wash hands thoroughly upon arrival and before departure from our office.


Washing hands – Therapists will thoroughly wash hands before and after each patient encounter.

Personal protection equipment – When working with a screened patient population, your therapist will wear a surgical mask during your regardless of vaccination status. Masks are required by all patients as this is a health care clinic treating patients of all ages.

Therapist will avoid hugs, handshakes, and contact outside of a physical exam.

Exam room cleaning (e.g. countertops, exam tables, door handles) will be thoroughly cleaned with an antiseptic agent between patients.

Temperature Self-monitoring – Therapists will regularly check their temperatures and if they are above 100.4, office hours and patient appointments will be rescheduled immediately. Additionally, therapists with flu-like symptoms will avoid patient and staff contact at all costs.


We participate in most insurance plans, including Medicare. If you are insured by a plan we do business with, but don’t have an up-to-date insurance card, payment in full for each visit is required until we can verify your coverage.

Having insurance is in no way a guarantee of benefits. If your benefits are exhausted at any point during treatment, there are alternative payment options available.

Proof of Insurance
All patients must complete our patient information form before seeing the therapist. We must obtain a copy of your driver’s license and current valid insurance to provide proof of insurance. Failure to present correct and current insurance information at the time of service may result in you absorbing the cost of the claim.

If insurance sends correspondence, please reply as to not delay or negate your benefits.

Knowing your Benefits
Physical Therapy is considered an essential health service and may be a covered service in your insurance plan. Knowing your insurance benefits is your responsibility. Please contact your insurance company with any questions you may have regarding your coverage. Insurance companies often have limits on the amount of physical therapy they will pay for in a year. Limits may be imposed monetarily or by number of visits.

All Co-Payments and deductibles must be paid at the time of service. This arrangement is part of your contract with your insurance company. Failure on our part to collect co-payments and deductibles from patients can be considered fraud. Please help us in upholding the law by paying your co-payment at each visit.

Account Balances/Non-payment
Unpaid account balances may result in being discharged from this practice and you will be notified by regular mail. If you are experiencing hardship, please speak with your therapist regarding payment options. Payment options are always available to you.

Non-Covered Services
Please be aware that some – and perhaps all – of the services you receive may be noncovered or not considered reasonable or necessary by Medicare or other insurers. You must pay for these services in full at the time of visit. Payment options are always available.

Thank you for acknowledging our payment policies. Please let us know if you have any questions, concerns or require further explanation by contacting our Office: 401-320-7101

Appointment Policies

Cancellation/No Show
A $50.00 No Show Fee may be charged to your account, if you fail to show up for an appointment or cancel without 24 hours prior notice of scheduled appointment.

Failure to show up for 2nd scheduled appointment without proper cancellation will result in a $75 fee charge to your account.

Failure to show for a 3rd scheduled appointment without proper cancellation will result in a $100 fee charge to your account. You will be discharged due to nonattendance and your referring healthcare provider will be notified of your discharge status.

Late Arrivals

To minimize inconveniencing other scheduled patients, if you arrive more than 15 minutes late to your scheduled appointment, your therapist may require you to reschedule and reserves the right to charge you a $50.00 No Show Fee.

No Show Fees are the patient’s responsibility and cannot be billed through your insurance company.

Consent to Treat
Our practice is committed to providing the best treatment to our patients. Prior to us treating you with physical therapy services, your therapist will we have discussed the proposed treatment plan, the potential risks of those treatments, the potential benefits of those treatments, and information about any potential alternative treatments. You can only provide us with your informed consent after we have discussed our proposed treatment.

Thank you for understanding our appointment policies. Please let us know if you have any questions or concerns. Contact our Office: 401-320-7101

Patient Care Policies

Minors as Patient Policy
We ask minors (individuals under age 18 years) as patients be accompanied by a parent or legal guardian to assist with and sign paperwork during the Initial Evaluation and Treatment Session including provide informed consent. Family members CANNOT act as the chaperone for adolescent (10 -17 years old) patients nor can family members opt out of a chaperone on behalf of their adolescent child.

Chaperone Policy
A chaperone is a person who acts as a witness for a patient and a health professional during a medical examination or procedure. OPT IN Policy:  A chaperone will be allowed if requested by a patient for any examination or procedure. A chaperone may be a health care professional or a trained unlicensed staff member and whenever possible, but not required, be the gender that the patient feels most comfortable with. A family member or friend of an adult patient may be present during sensitive examinations or procedures if it is the expressed desire of the patient and may serve as a chaperone for the purposes of this policy if a medical professional is not available at the time of appointment.

Non-Discrimination Policy
Discrimination is Against the Law. Full Circle Pelvic Health complies with applicable Federal civil rights laws and does not discriminate. exclude or treat people differently on the basis of race, color, national origin, age, socioeconomic status, source of payment, disability, veteran status, or sexual orientation, gender identity or expression. The patient has the right to treatment without discrimination and will be treated with dignity, compassion, and respect as an individual.

Thank you for understanding our patient care policies. Please let us know if you have any questions or concerns. Contact our Office: 401-320-7101

Children Accompanying Patients Policy

Full Circle Pelvic Health (FCPH) is committed to promoting a helpful culture which is supportive to the needs of patients with family responsibilities. Patients bringing children to appointments is acceptable, however, we request that patients adhere to the following guidelines:

  • Children brought into FCPH must be under the direct supervision of the accompanying adult. They must remain in the immediate vicinity of the treatment area at all times for everyone’s safety.
  • The child’s safety as well as the child’s behavior is the sole responsibility of the accompanying adult.
  • Due to the intrinsically hazardous gym equipment, children are not allowed to play with or use any gym equipment.
  • Children with infectious diseases must not be brought to appointments.
  • Accompanying adults of children demonstrating disruptive behavior will be asked to find alternative childcare for all future appointments to allow for patient centered care.


Notice of Privacy
We strive to comply with all federal and state HIPAA laws, which require us to protect the confidentiality and privacy of your records and personal information. We have implemented privacy policies and procedures to ensure compliance with these requirements. This information is summarized on our Notice of Privacy Practice located on this website and available upon request.

We strive to provide you with the most reasonable payment options for your account.  Should you have any questions in regards to a payment or your final balance, you are welcome to contact us and provide detailed information to support what you believe to be your financial responsibility. Our office (401-320-7101) will work with you to help ensure an accurate final balance to help close out the financial aspects of your account.

Medical Records
A patient must request, in writing, a copy of medical records. Requested records will be provided within 30 days of receipt of the written request. Requests from an authorized third party for retrieving and copying medical records if the third party has a signed authorization for release of records from the patient will result in a charge of a minimum of $2.50 each for the first 10 pages and $0.50 each page thereafter. An authorized third party is defined as attorneys representing a patient, attorneys not representing a patient, a patient’s estate, or an insurance company.

Merchandise Refund/Return Policy
Because the merchandise we sell is simply as a convenience to make the tools deemed necessary by your physical therapist(s) readily available to you, all sales are final.

Cell Phone Use Policy
We ask that you attend your therapy appointments with a focus on your health. Cell phones should be silenced during your treatment session and while waiting in the lobby.

Social Media
The highest compliment you can give us is to tell your physician, family and friends about your experience of having physical therapy that exemplifies better quality for better care.

Our commitment for a safe rehabilitation environment begins with open communication.