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Email: Admin@perfect10pt.org
ATTN: ALL appointments are booked through this website or via our Wix App under:
"Book Online"
School, Sports & Medical Letter/Note Request
$65.00 | Established Patients Only | Prepaid
Service Description
This service allows established Perfect 10.0 Physical Therapy patients to request customized school, sports, gymnastics, or activity-related documentation outside their scheduled physical therapy appointments. THIS IS NOT AN IN PERSON APPOINTMENT. You request the day/time you would like the letter/note sent via email. Eligible Requests Include: -School and physical education participation restrictions -Gymnastics practice modifications and activity limitations -Customized letters for coaches, schools, or athletic programs -Updated recommendations supported by existing clinical findings SERVICE REQUIREMENTS & LIMITATIONS: This is a documentation-only service. The selected booking time is reserved for professional clinical review and documentation preparation. No in-person attendance or telephone consultation is required. All documentation is based on the patient's existing clinical records, most recent examination findings, and applicable medical restrictions. For postoperative athletes, recommendations must remain consistent with the treating surgeon's current restrictions. This service does not include a new examination, physical therapy treatment, updated functional testing, or return-to-sport clearance requiring additional assessment. An Injury Evaluation/Re-Evaluation may be required when clinically indicated. PAYMENT & CANCELLATION POLICY" Full payment of $65.00 is required at booking. Perfect 10.0 Physical Therapy's 24-hour cancellation policy applies. Cancellations or rescheduling requests made less than 24 hours before the scheduled documentation appointment are subject to the full service fee. The service fee covers professional review and preparation, not a guaranteed recommendation, restriction, or clearance. Once professional review or documentation preparation has begun, the fee is nonrefundable, subject to applicable law. ELIGIBILITY & REFUNDS This service is available to established PT patients only. Requests from ineligible patients or those requiring services beyond the scope of this appointment may be canceled and refunded at the practice's discretion. Requests for copies of existing medical records are handled separately. IMPORTANT: By booking and submitting payment, you acknowledge the service requirements, limitations, and payment terms described above. Your separate acknowledgment of our 24-hour cancellation policy is collected during booking. For questions, contact admin@perfect10pt.org.
Cancellation Policy
To cancel or reschedule, please email, text, or call the office at least 24 hours PRIOR to your appointment. Cancellations less than 24 hours before the appointment incur a fee equal to the full scheduled service charge, regardless of reason. If you reschedule the canceled appointment within the same week, the cancellation fee will be waived. No-shows incur the full scheduled service charge. Appointments cannot proceed without required payment. BOOKING: Services linked to this policy must be booked online at least 72 hours in advance. Evaluations and Gymnastics Performance Assessments require time for paperwork and administrative preparation. The 72-hour booking rule is separate from the 24-hour cancellation deadline. Requests within 72 hours require office approval and are subject to availability. DEPOSIT: A $54 NONREFUNDABLE reservation fee is required to secure paid Evaluation and Gymnastics Performance Assessment appointments. The $54 is NOT the evaluation/assessment price and is NOT credited toward the service charge. Full payment for the service is due separately at the time of service and will be billed to the card on file. Rates vary by service and gym affiliation. Email admin@perfect10pt.org for your specific rate BEFORE booking. This deposit does not apply to services designated as free consultations/screens. PAPERWORK: Required New Patient/Client Paperwork must be completed and returned at least 48 hours before the scheduled evaluation or assessment, or the appointment will be canceled. Forms are available on our website under “More” and will be emailed after booking. A valid credit card must be on file before services can be provided. ATTN: Perfect 10.0 PT is a cash-based, fee-for-service practice and does not accept insurance. Reimbursement is not guaranteed. Ethan Valencia's Gymnastics Performance Assessment is nonmedical, not PT, and is not eligible for a PT superbill. LATE/SAME-DAY REQUESTS: Appointments requested less than 24 hours in advance, including same-day requests, require office approval. If accommodated, ONE 50% surcharge (1.5 times the regular service rate) applies; surcharges are not stacked. This surcharge does not apply to patients contacted from the waitlist after a same-day cancellation. Holiday and weekend (Saturday/Sunday) appointments may carry a premium rate. This policy applies to the connected services; deposit, paperwork, and service charges apply only where relevant.
Contact Details
Cardinal Gymnastics, Guinea Road, Fairfax, VA, USA
+15712529131
egreene@perfect10pt.org
Dynamic Gymnastics, Carlin Springs Road, Bailey's Crossroads, VA, USA
+15712529131
egreene@perfect10pt.org
