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Clinical Submission Forms Optum UHC Oxford

Let us get started filling out this form.

I understand this is a legal agreement and Intend to sign,
I also Agree to sign this agreement electronically.
Terms of consent

Patient Summary Form

Patient Information

First Name*

Last Name*

Middle Initial

Gender*

Please select one option

Female

Male

Birthday*

Street Address*

City*

State/Province*

Please select one option

Zip Code*

Patient Insurance ID#

Health Plan

Group Number

Referring physician (if applicable)

Date referral issued (if applicable)

Referral number (if applicable)

Provider Information

1. Name of the billing provider or facility (as it will appear on the claim form)

2. Federal tax ID (TIN) of entity in box #1

3. Name and credentials of the individual performing the service(s)

MD/DO

Both PT and OT

Home Care

ATC

Other:

4. Alternate name (if any) of entity in box #1

5. NPI of entity in box #1

6. Phone number

7. Address of the billing provider or facility indicated in box #1

8. City

9. State

10. Zip Code

Symptoms began on:

1. Briefly describe your symptoms:

2. How did your symptoms start?

3. Average pain Intensity: Last 24 hours

0 (No Pain)

10 (Worst Pain)

3. Average pain Intensity: Past Week

0 (No Pain)

10 (Worst Pain)

4. How often do you experience your symptoms?

Constantly (76%-100% of the time)

Frequently (51%-75%)

Occasionally (26%-50%)

Intermittently (0%-25%)

5. How much have your symptoms interfered with your usual daily activities? (including both work outside the home and housework)

Not at all

A little bit

Moderately

Quite a bit

Extremely

6. How is your condition changing, since care began at this facility?

N/A - This is the initial visit

Much worse

Worse

A little worse

No change

A little better

Better

Much better

7. In general, would you say your overall health right now is...

Excellent

Very good

Good

Fair

Poor

Signature*

Date Signed*

Printed Name*

Email*

Neck Index

This questionnaire will give your provider information about how your neck condition affects your everyday life. Please answer every section by marking the one statement that applies to you. If two or more statements in one section apply, please mark the one statement that most closely describes your problem.

Pain Intensity

I have no pain at the moment.

The pain is very mild at the moment.

The pain comes and goes and is moderate.

The pain is fairly severe at the moment.

The pain is very severe at the moment.

The pain is the worst imaginable at the moment.

Personal Care

I can look after myself normally without causing extra pain.

I can look after myself normally but it causes extra pain.

It is painful to look after myself and I am slow and careful.

I need some help but I manage most of my personal care.

I need help every day in most aspects of self care.

I do not get dressed, I wash with difficulty and stay in bed.

Sleeping

I have no trouble sleeping.

My sleep is slightly disturbed (less than 1 hour sleepless).

My sleep is mildly disturbed (1-2 hours sleepless).

My sleep is moderately disturbed (2-3 hours sleepless).

My sleep is greatly disturbed (3-5 hours sleepless).

My sleep is completely disturbed (5-7 hours sleepless).

Lifting

I can lift heavy weights without extra pain.

I can lift heavy weights but it causes extra pain.

Pain prevents me from lifting heavy weights off the floor, but I can manage if they are conveniently positioned (e.g., on a table).

Pain prevents me from lifting heavy weights off the floor, but I can manage light to medium weights if they are conveniently positioned.

I can only lift very light weights.

I cannot lift or carry anything at all.

Reading

I can read as much as I want with no neck pain.

I can read as much as I want with slight neck pain.

I can read as much as I want with moderate neck pain.

I cannot read as much as I want because of moderate neck pain.

I can hardly read at all because of severe neck pain.

I cannot read at all because of neck pain.

Driving

I can drive my car without any neck pain.

I can drive my car as long as I want with slight neck pain.

I can drive my car as long as I want with moderate neck pain.

I cannot drive my car as long as I want because of moderate neck pain.

I can hardly drive at all because of severe neck pain.

I cannot drive my car at all because of neck pain.

Concentration

I can concentrate fully when I want with no difficulty.

I can concentrate fully when I want with slight difficulty.

I have a fair degree of difficulty concentrating when I want.

I have a lot of difficulty concentrating when I want.

I have a great deal of difficulty concentrating when I want.

I cannot concentrate at all.I cannot concentrate at all.

Recreation

I am able to engage in all my recreation activities without neck pain.

I am able to engage in all my usual recreation activities with some neck pain.

I am able to engage in most but not all my usual recreation activities because of neck pain.

I am only able to engage in a few of my usual recreation activities because of neck pain.

I can hardly do any recreation activities because of neck pain.

I cannot do any recreation activities at all.I cannot do any recreation activities at all.

Work

I can do as much work as I want.

I can only do my usual work but no more.

I can only do most of my usual work but no more.

I cannot do my usual work.

I can hardly do any work at all.

I cannot do any work at all.

Headaches

I have no headaches at all.

I have slight headaches which come infrequently.

I have moderate headaches which come infrequently.

I have moderate headaches which come frequently.

I have severe headaches which come frequently.

I have headaches almost all the time.

Index Score = [Sum of all statements selected / (# of sections with a statement selected x 5)] x 100

Neck Index Score

THE LOWER EXTREMITY FUNCTIONAL SCALE

We are interested in knowing whether you are having any difficulty at all with the activities listed below because of your lower limb
Problem for which you are currently seeking attention. Please provide an answer for each activity.

Today, do you or would you have any difficulty at all with:

(0 = Extreme Difficulty or Unable to Perform Activity; 1 = Quite a Bit of Difficulty; 2 = Moderate Difficulty; 3 = A Little Bit of Difficulty; 4 = No Difficulty)

Any of your usual work, housework, or school activities

Your usual hobbies, re creational or sporting activities.

Getting into or out of the bath.

Walking between rooms.

Putting on your shoes or socks.

Squatting.

Lifting an object, like a bag of groceries from the floor.

Performing light activities around your home.

Performing heavy activities around your home

Getting into or out of a car.

Walking 2 blocks.

Walking a mile.

Going up or down 10 stairs (about 1 flight of stairs).

Standing for 1 hour

Sitting for 1 hour.

Running on even ground.

Running on uneven ground.

Making sharp turns while running fast.

Hopping.

Rolling over in bed.

Minimum Level of Detectable Change (90% Confidence): 9 points

SCORE: _____/ 80

DISABILITIES OF THE ARM, SHOULDER AND HAND

Please rate your ability to do the following activities in the last week by checking the number below the appropriate response.

(1 = No Difficulty; 2 = Mild Difficulty; 3 = Moderate Difficulty; 4 = Severe Difficulty; 5 = Unable)

1. Open a tight or new jar.

2. Write

3. Turn a key

4. Prepare a meal

5. Push open a heavy door

6. Place an object on a shelf above your head

7. Do heavy household chores (e.g., wash walls, wash floors)

8. Garden or do yard work

9. Make a bed

10. Carry a shopping bag or briefcase

11. Carry a heavy object (over 10 lbs)

12. Change a lightbulb overhead

13. Wash or blow dry your hair

14. Wash your back

15. Put on a pullover sweater

16. Use a knife to cut food

17. Recreational activities which require little effort (e.g., cardplaying, knitting, etc.)

18. Recreational activities in which you take some force or impact through your arm, shoulder or hand (e.g. golf, hammering, tennis, etc.)

19. Recreational activities in which you move your arm freely (e.g., playing frisbee, badminton, etc.)

20. Manage transportation needs (getting from one place to another).

21. Sexual activities

22. During the past week, to what extent has your arm, shoulder or hand problem interfered with your normal social activities with family, friends, neighbors or groups?

1 Not at all

2 slightly

3 moderately

4 quite a bit

5 extremely

23. during the past week, were you limited in your work or other regular daily activities as a result of your arm, shoulder or hand problem?

1 not limited at all

2 slightly limited

3 moderately limited

4 very limited

5 unable

24. Arm, shoulder or hand pain.

25. Arm, shoulder or hand pain when you performed any specific activity

26. Tingling (pins and needles) in your arm, shoulder or hand

27. Weakness in your arm, shoulder or hand

28. Stiffness in your arm, shoulder or hand

29. During the past week, how much difficulty have you had sleeping because of the pain in your arm, shoulder or hand?

1 strongly disagree

2 disagree

3 neither agree nor disagree

4 agree

5 strongly agree

30. I feel less capable, less confident or less useful because of my arm, shoulder or hand problem

INSTRUCTIONS:

This questionnaire asks about your symptoms as well as your ability to perform certain activities

Please answer every question, based on your condition in the last week, by circling the appropriate number.

If you did not have the opportunity to perform an activity in the past week, please make your best estimate on which response would be the most accurate.

It doesn't matter which hand or arm you use to perform the activity; please answer based on your ability regardless of how you perform the task.

Work Module (Optional)

The following questions ask about the impact of your arm, shoulder or hand problem on your ability to work (including homemaking if that is your main work role)

Please indicate what your job/work is:

I do not work (you may skip this section)

Please circle the number that best describes your physical ability in the past week. Did you have any difficulty:

(1 = No Difficulty; 2 = Mild Difficulty; 3 = Moderate Difficulty; 4 = Severe Difficulty; 5 = Unable)

1. Using your usual technique for your work?

2. Doing your unusual work because of arm, shoulder or hand pain

3. Doing your work as well as you would like?

4. Spending your usual amount of time doing your work?

SPORTS/PERFORMING ARTS MODULE (OPTIONAL)

The following questions relate to the impact of your arm, shoulder or hand problem on playing your musical instrument or sport or both.

If you play more than one sport or instrument (or play both), please answer with respect to that activity which is most important to you.

Please indicate the sport or instrument which is most important to you:

I do not play a sport or an instrument (you may skip this section)

Please circle the number that best describes your physical ability in the past week. Did you have any difficulty:

(1 = No Difficulty; 2 = Mild Difficulty; 3 = Moderate Difficulty; 4 = Severe Difficulty; 5 = Unable)

1. Using your usual technique for your instrument or sport?

2. Playing your musical instrument or sport because of arm, shoulder or hand pain?

3. Playing your musical instrument or sport as well as you would like?

4. Spending your usual amount of time practicing or playing your instrument or sport??

Scoring the optional modules: Ad dup assigned values for each response, divide by 4 (number of items); subtract 1; multiply by 25. An optional module score may not be calculated if there are any missing items.

Back Index

This questionnaire will give your provider information about how your back condition affects your everyday life. Please answer every section by marking the one statement that applies to you. If two or more statements in one section apply, please mark the one statement that most closely describes your problem.

Pain Intensity

The pain comes and goes and is very mild.

The pain is mild and does not vary much.

The pain comes and goes and is moderate.

The pain is moderate and does not vary much.

The pain comes and goes and is very severe.

The pain is very severe and does not vary much.

Personal Care

I do not have to change my way of washing or dressing in order to avoid pain.

I do not normally change my way of washing or dressing even though it causes some pain.

Washing and dressing increases the pain but I manage not to change my way of doing it.

Washing and dressing increases the pain and I find it necessary to change my way of doing it.

Because of the pain I am unable to do some washing and dressing without help.

Because of the pain I am unable to do any washing and dressing without help.

Sleeping

I get no pain in bed.

I get pain in bed but it does not prevent me from sleeping well.

Because of pain my normal sleep is reduced by less than 25%.

Because of pain my normal sleep is reduced by less than 50%.

Because of pain my normal sleep is reduced by less than 75%.

Pain prevents me from sleeping at all.

Lifting

I can lift heavy weights without extra pain.

I can lift heavy weights but it causes extra pain.

Pain prevents me from lifting heavy weights off the floor.

Pain prevents me from lifting heavy weights off the floor, but I can manage if they are conveniently positioned (e.g., on a table).

Pain prevents me from lifting heavy weights off the floor, but I can manage light to medium weights if they are conveniently positioned.

I can only lift very light weights.

Sitting

I can sit in any chair as long as I like.

I can only sit in my favorite chair as long as I like.

Pain prevents me from sitting more than 1 hour.

Pain prevents me from sitting more than 1/2 hour.

Pain prevents me from sitting more than 10 minutes.

I avoid sitting because it increases pain immediately.

Traveling

I get no pain while traveling.

I get some pain while traveling but none of my usual forms of travel make it worse.

I get extra pain while traveling but it does not cause me to seek alternate forms of travel.

I get extra pain while traveling which causes me to seek alternate forms of travel.

Pain restricts all forms of travel except that done while lying down.

Pain restricts all forms of travel.

Standing

I can stand as long as I want without pain.

I have some pain while standing but it does not increase with time.

I cannot stand for longer than 1 hour without increasing pain.

I cannot stand for longer than 1/2 hour without increasing pain.

I cannot stand for longer than 10 minutes without increasing pain.

I avoid standing because it increases pain immediately.

Social Life

My social life is normal and gives me no extra pain.

My social life is normal but increases the degree of pain.

Pain has no significant affect on my social life apart from limiting my more energetic interests (e.g., dancing, etc).

Pain has restricted my social life and I do not go out very often.

Pain has restricted my social life to my home.

I have hardly any social life because of the pain.

Walking

I have no pain while walking.

I have some pain while walking but it doesn't increase with distance.

I cannot walk more than 1 mile without increasing pain.

I cannot walk more than 1/2 mile without increasing pain.

I cannot walk more than 1/4 mile without increasing pain.

I cannot walk at all without increasing pain.

Changing degree of pain

My pain is rapidly getting better.

My pain fluctuates but overall is definitely getting better.

My pain seems to be getting better but improvement is slow.

My pain is neither getting better or worse.

My pain is gradually worsening.

My pain is rapidly worsening.

Index Score = [Sum of all statements selected / (# of sections with a statement selected x 5)] x 100

Back Index Score

The Kneele STarT Back Screening Tool

Thinking about the Last 2 weeks tick your response to the following questions:

1. Has your back pain spread down your leg(s) at some time in the last 2 weeks?

Yes

2. Have you had pain in the shoulder or neck at some time in the last 2 weeks?

Yes

3. Have you only walked short distances because of your back pain?

Yes

4. In the last 2 weeks, have you dressed more slowly than usual because of back pain?

Yes

5. Do you think it's not really safe for a person with a condition like yours to be physically active?

Yes

6. Have worrying thoughts been going through your mind a lot of the time?

Yes

7. Do you feel that your back pain is terrible and it's never going to get any better?

Yes

8. In general have you stopped enjoying all the things you usually enjoy?

Yes

9. Overall, how bothersome has your back pain been in the last 2 weeks?

Not at all

Slightly

Moderately

Very Much

Extremely

Total score (all 9)

Sub Score (Q5-9)

Thank you for taking the time to fill out this form.

REVIEW WAVE ELECTRONIC SIGNATURE TERMS AND CONDITIONS

Updated September 10, 2020

THESE ELECTRONIC SIGNATURE TERMS AND CONDITIONS ARE INCORPORATED BY REFERENCE INTO THE REVIEW WAVE TERMS AND CONDITIONS AND ARE LEGALLY BINDING. By using the Review Wave E-Signature Service, you accept and agree to the terms of these terms and conditions (the "Terms"). Should any conflict arise between these Terms and the Review Wave Terms of Service (the "Standard Terms"), these Terms shall control with respect to the subject matter herein. Both you and Review Wave may be referred to herein individually as a "Party", and collectively as the "Parties".

THE E-SIGNATURE SERVICE.
- Service Description. Review Wave's electronic signature service (the "Service") allows you to signify your agreement with legally binding agreements electronically, in lieu of a pen-and-ink signature on a physical hardcopy. The Service is a "Review Wave Service" for the purposes of interpreting the Standard Terms.
- Authorized Users. The Services are available only to individuals who can form legally binding contracts under applicable law. The Services are not available to persons under the age of majority in their jurisdiction, and in no case to persons under the age of 18. In order to use the Services, you must be identified by a unique email address. Two or more natural persons may not use the Services using the same set of credentials.
- Appropriate Conduct. You agree not to use the Services for any illegal or unauthorized purpose and agree to comply with all applicable domestic and international laws, statutes, ordinances, and regulations relating thereto. You further warrant and agree that your use of the Services does not violate any relevant laws, regulations, legislation, or other applicable rules of any applicable authority. You are solely responsible for determining the suitability of the Services for your particular purpose.

You agree not to (attempt to) modify, adapt, or hack the Services. You agree not to engage in any activities that would create a false association with the Services. You agree that Review Wave has sole and absolute discretion with respect to the determination of whether your use of the Services is authorized.

Authorized Use. You shall use the Service solely for your internal business or personal purposes, and in no case shall you make the Services or any portion thereof available to any third-party.

WARRANTY DISCLAIMER AND LIMITATION OF LIABILITY.
- Warranty Disclaimer. The Services are provided to you without warranty of any kind, whether express or implied. REVIEW WAVE SPECIFICALLY EXCLUDES AND DISCLAIMS WARRANTIES OF TITLE, MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, QUIET ENJOYMENT, NON-INRFINGEMENT, AND ANY WARRANTIES ARISING OUT OF COURSE OF DEALING OR USAGE OF TRADE.

USE OF THE SERVICES IS DONE AT YOUR OWN RISK. REVIEW WAVE ASSUMES NO RESPONSIBILITY FOR ANY LOSS OF YOUR DATA OR CONTENT OR ANY ERRORS OR OMISSIONS IN ANY CONTENT, OR FOR ANY LOSS OR DAMAGE OF ANY KIND INCURRECT AS A RESULT OF THE USE OF THE SERVICE.

Damages Limitation. REVIEW WAVE SHALL NOT BE LIABLE FOR ANY INCIDENTAL, SPECIAL, EXEMPLARY, OR CONSEQUENTIAL DAMAGES, INCLUDING LOST PROFITS, LOSS OF DATA, LOSS OF GOODWILL, THE COST OF SUBSTITUTE PRODUCTS OR SERVICES, OR FOR ANY DAMAGES FOR PERSONAL OR BODILY INJURY OR EMOTIONAL DISTRESS ARISING OUT OF OR IN CONNECTION WITH THESE TERMS, OR FROM THE USE OF OR INABILITY TO USE THE SERVICES, WHETHER BASED ON WARRANTY, CONTRACT, TORT (INCLUDING NEGLIGENCE), PRODUCT LIABILITY, OR ANY OTHER LEGAL THEORY, AND WHETHER OR NOT REVIEW WAVE HAS BEEN INFORMED OF THE POSSIBILITY OF SUCH DAMAGE, EVEN IF A LIMITED REMEDY SET FORTH HEREIN IS FOUND TO HAVE FAILED OF ITS ESSENTIAL PURPOSE.
Limitation of Liability. IN NO EVENT WILL REVIEW WAVE'S AGGREGATE LIABILITY ARISING OUT OF OR IN CONNECTION WITH THESE TERMS AND YOUR USE OF THE SERVICES EXCEED THE AMOUNT RECEIVED BY REVIEW WAVE FROM YOU IN THE SIX (6) MONTH PERIOD PRECEDING THE ACTION GIVING RISE TO THE CLAIM. THE LIMITATIONS OF DAMAGES SET FORTH ABOVE ARE FUNDAMENTAL ELEMENTS OF THE BARGAIN BETWEEN REVIEW WAVE AND YOU. SOME JURISDICTIONS DO NOT ALLOW THE EXCLUSION OR LIMITATION OF LIABILITY FOR CONSEQUENTIAL OR INCIDENTAL DAMAGES, SO THE ABOVE LIMITATION MAY NOT APPLY TO YOU.
German Customers. Review Wave's liability to you if you are domiciled in Germany is limited as follows:
- Review Wave shall be fully liable for intentional and gross negligence, as well as for any damages arising from injury to life, body or health caused by Review Wave. In the case of liability for slight negligence, Review Wave shall be liable only for breach of a material obligation ("Cardinal Duty") and any such liability shall be limited to typical, foreseeable damages and shall not include liability for lack of economic results, loss of profit, or indirect damages. A Cardinal Duty in the meaning of this Section 2.4 is an obligation, the fulfillment of which is essential to the performance of these Terms and on the fulfillment of which the contracting party may therefore rely.
- If you are a consumer, nothing in these Terms affects your rights under mandatory German law and these Terms will be interpreted, construed, and enforced in all respects in compliance with mandatory consumer protection laws of Germany. Notwithstanding anything to the contrary herein or within the Standard Terms, if you are a consumer, you may submit a claim to enforce your rights under these Terms to the competent courts in Germany.

CUSTOMER OBLIGATIONS.
- Personal Data. You warrant that your use and collection of any personal information or data provided while using the Services complies with all applicable data protection laws, rules, and regulations. You acknowledge that Review Wave may process such personal data in accordance with its privacy policy [LINK TO POLICY].
- Customer Acknowledgements and Warranties. By using the Service you consent to do business electronically. You hereby represent and warrant to Review Wave that: a.) you have all requisite rights and authority to use the Services under these Terms and to grant all applicable rights herein; b.) you are solely responsible for all use of the Services associated with your credentials; c.) you are solely responsible for maintaining the confidentiality of your account credentials; d.) your agrees to immediately notify Review Wave of any unauthorized use of your account of which it becomes aware; e.) you agrees that Review Wave will not be liable for any losses incurred as a result of a third party's use of your Account, regardless of whether such use is with or without its knowledge and consent; f.) you will use the Services for lawful purposes only and subject to these Terms; g.) any information you submits to Review Wave is true, accurate, and correct; and h.) you will not attempt to gain unauthorized access to the Services, other accounts, computer systems, or networks under the control or responsibility of Review Wave through hacking, cracking, password mining, or any other unauthorized means.

Review Wave is not a party to any Document executed via the Services.

Review Wave has no control over the contents of any Document. Review Wave makes no representation or warranty regarding any transaction sought to be effected by any Document.

Review Wave is not responsible or liable to determine whether any particular Document is subject to an exception to applicable electronic signature laws, or whether it is subject to any particular agency promulgations, or whether it can be legally formed by electronic signatures.

Review Wave is not responsible for determining how long any contracts, documents, and other records are required to be retained or stored under any applicable laws, regulations, or legal or administrative agency processes. Further, Review Wave is not responsible for or liable to produce any of your Documents or other documents to any third parties.

With respect to "consumers", as that term is defined under applicable consumer protection laws imposing the requirement that parties to an electronic contract consent to the method of contracting (among other requirements), Review Wave does not and is not responsible to: i.) determine whether any particular transaction involves a consumer; ii.) furnish or obtain any required consents or determine if any such consents have been withdrawn with respect to the contracting method; iii.) provide any information or disclosures in connection with any attempt to obtain any such consents; iv.) provide legal review of, or update or correct any information or disclosures currently or previously given; v.) provide any such copies or access, except as expressly provided in the Documentation for all transactions, consumer or otherwise; or vi.) comply with any such requirements. You shall be responsible for determining if any contracting party is a consumer, and if so, to comply with all requirements imposed by law as a result thereof.

You agree that you are solely responsible for the accuracy and appropriateness of instructions given by you and your personnel in relation to the Services.

You warrant that you have the requisite authority to provide Review Wave with, and to accept from Review Wave, any required authorizations, requests, or consents, on behalf of you, your entity, and/or the entity you represent.

TERM AND TERMINATION.
- Term of Agreement. These Terms shall be effective from the moment you first access the Service until your use of the Service has completely ceased. Review Wave may terminate or suspend your use of the Services and deny you access to its website in its sole discretion for any reason or no reason. Review Wave may notify you prior to any such termination or suspension at its discretion.
- Survival Provisions. The rights and obligations of the Parties under Sections 1.3, 2.1 - 2.4, 3, 4.2, 5 and 7 shall survive the expiration or termination of these Terms.

INDEMNIFICATION.
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DOCUMENT RETENTION AND DATA PROTECTION.
- Document Retention. Review Wave may store documents sent for signature via the Services ("Documents") when it is commercially reasonable to do so. Review Wave may, at its sole discretion, delete incomplete Documents from the Services systems.
- Transaction Data Retention. Review Wave may retain Transaction Data for as long as it has a business purpose to do so.

"Transaction Data" means metadata associated with a Document, such as transaction history, image hash value, method and time of Document deletion, sender and recipient names, e-mail addresses, signature IDs, and other unique identifiers and time/date stamps.

Protection of Data. You acknowledge that Review Wave has no obligation to protect your data that is stored or transmitted outside of the Services. Review Wave will employ commercially reasonable measures to protect your data from unlawful or unauthorized access, use, alternation, or disclosure during transit and storage within the Services.

GENERAL.
- Terms. In the event that any one or more of the provisions of these Terms are for any reason held to be illegal or unenforceable in any respect, such illegality or unenforceability shall not affect the other provisions of these Terms, which shall remain in full force and effect.
- Entire Agreement. This Agreement, the policies incorporated by reference hereto, and the agreements covering the individual services offered pursuant to the terms herein reflect the entire agreement between the parties with respect to the matters therein, and supersede all proposals, prior agreements, and commitments, whether oral or written, and all negotiations, conversations, or discussions between the Parties relating thereto.
- Modifications. These Terms may be modified from time to time by Review Wave at its sole discretion. Your use of the Service signifies your agreement to these changes. You will be notified of material changes by notice on the website or via e-mail.
- Assignment. You may not assign or delegate the rights and obligations of these Terms without the prior express written permission of Review Wave. Review Wave may unilaterally assign or delegate the rights and obligations of these Terms at its sole discretion. These Terms shall be binding upon and inure to the benefit of the Parties and their successors and permitted assigns.
- Litigation of Intellectual Property. Notwithstanding the parties' decision to resolve all disputes through arbitration, either party may bring enforcement actions, validity determinations, or claims arising from or relating to theft, piracy, or unauthorized use of intellectual property in any state or federal court with jurisdiction or in the U.S. Patent and Trademark Office to protect its intellectual property rights ("intellectual property rights" means patents, copyrights, moral rights, trademarks, and trade secrets, but not privacy or publicity rights) .

Contact Information. If you have any questions, concerns, or complaints about our Services or anything under these Terms or other agreements with us, please contact us at the following email address.

Email: support (at) reviewwave.com

CONTACT US TODAY

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Monday:

8:00 am-12:00 pm

1:00 pm-6:00 pm

Tuesday:

8:00 am-12:00 pm

1:00 pm-6:00 pm

Wednesday:

8:00 am-12:00 pm

1:00 pm-6:00 pm

Thursday:

8:00 am-11:00 am

11:30 am-1:00 pm

Friday:

Closed

Saturday:

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Sunday:

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Office Hours

Our Regular Schedule

Monday:

8:00 am-12:00 pm

1:00 pm-6:00 pm

Tuesday:

8:00 am-12:00 pm

1:00 pm-6:00 pm

Wednesday:

8:00 am-12:00 pm

1:00 pm-6:00 pm

Thursday:

8:00 am-11:00 am

11:30 am-1:00 pm

Friday:

Closed

Saturday:

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Sunday:

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