Scope of Practice

Last Updated: July 17, 2026

Purpose and Scope

Wasabi Method, LLC (“Wasabi Method,” “we,” “our,” or “us”) respects your privacy and is committed to protecting the personal information you provide when visiting wasabimethod.com (hereafter “the site” or “website”), or purchasing products and services from us. By using this website you acknowledge that you have read and agree to this Policy.

This Scope of Practice Disclaimer applies to all Wasabi Method courses, certifications, webinars, conferences, protocols, demonstrations, research summaries, clinical resources, videos, downloadable materials, memberships, live events, digital products, and other educational content made available through our websites, affiliated platforms, and related services.

Each user is solely responsible for confirming that any procedure, device, technique, delegated activity, or clinical service discussed by Wasabi Method is permitted by the laws, regulations, licensing-board rules, professional standards, facility policies, and insurance requirements applicable to that user.

Educational Information Only

Wasabi Method provides professional education and general information only. Its content is not individualized medical, legal, licensing, regulatory, employment, insurance, reimbursement, coding, or risk-management advice.

Adam Gavine, BHK, M.Chiro, provides educational content in a health-tech education capacity; however, no content provided by Wasabi Method is a substitute for professional medical advice, diagnosis, or treatment from a licensed healthcare professional. Results are not guaranteed.

Individual Responsibility

Each healthcare professional, clinic, employer, educator, and user is personally responsible for determining whether any procedure, device, treatment, technique, workflow, or delegated task falls within the lawful and appropriate scope of practice applicable to that individual or organization.

No Wasabi Method content should be interpreted as permission, authorization, instruction, or assurance that a particular activity is lawful, appropriate, reimbursable, or professionally suitable for any user.

Jurisdictional Variability

Scope-of-practice rules vary significantly by country, state, province, territory, profession, credential, facility, payer, and practice setting. In the United States, professional practice is commonly governed through state licensing statutes, implementing regulations, and licensing-board interpretations, and physical therapists, for example, must comply with the applicable state practice act and related rules.

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Users outside the United States, and users practicing across state or national borders, must independently determine which laws, regulations, and professional restrictions apply in the relevant jurisdiction, including foreign jurisdictions.

Professional, Jurisdictional, and Personal Scope

Scope of practice may include multiple distinct but overlapping dimensions. APTA describes scope of practice as having professional, jurisdictional, and personal components.

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Professional scope refers to the activities generally associated with the profession’s body of knowledge and accepted practice framework.
Jurisdictional scope refers to what is permitted or restricted by applicable laws, regulations, and board rules in the practitioner’s jurisdiction.
Personal scope refers to the individual practitioner’s own education, training, competence, supervised experience, and ability to perform the activity safely.

Being legally permitted to perform an activity does not necessarily mean that an individual practitioner is personally trained, competent, privileged, or otherwise prepared to perform that activity safely.

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Licensure, Registration, and Credentialing

Users must maintain all licenses, registrations, certifications, permits, continuing education, facility privileges, employer approvals, professional liability coverage, and any other credentials or authorizations required by law, employer policy, payer policy, or institutional rule.

Participation in Wasabi Method education does not satisfy, replace, or renew these requirements unless a specific authority expressly recognizes that participation for that purpose in writing.

Training and Certification Limitations

Completion of a Wasabi Method course, certificate, assessment, workshop, or certification does not:

grant a professional license;
create a new healthcare credential;
expand statutory scope of practice;
confer hospital or facility privileges;
authorize independent practice;
replace manufacturer-required training;
establish competence for every procedure or patient population;
guarantee eligibility for reimbursement; or
protect against disciplinary, professional, civil, employment, or regulatory action.

Competence and Clinical Judgment

Users must independently determine whether they possess the education, supervised experience, technical skill, clinical judgment, risk awareness, and ongoing competence required to perform any procedure safely and lawfully.

Wasabi Method does not certify that any user is clinically competent for any particular procedure, protocol, diagnosis, treatment plan, device setting, or patient population.

Device-Specific Training

General education regarding shockwave therapy or related technologies does not replace training required for a specific device, model, software version, accessory, applicator, energy setting, or treatment configuration.

Users must consult and follow the current manufacturer instructions for use, warnings, contraindications, precautions, operating procedures, maintenance requirements, and operator-training materials for the specific device and configuration they intend to use.

Off-Label and Unapproved Applications

A discussion of scientific literature, faculty experience, case material, or emerging evidence is not the same as a legally authorized indication, labeled use, cleared use, approved use, or reimbursable use. These concepts are distinct and are not interchangeable.

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A clinician’s decision to use a legally marketed product outside its labeling is different from the use of an unapproved or uncleared product, and different legal and regulatory considerations may apply to manufacturers, distributors, researchers, institutions, and treating professionals.

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No Recommendation to Practice Off-Label

The inclusion of any off-label, emerging, experimental, investigational, or not-yet-standardized application in Wasabi Method content does not constitute:

a clinical recommendation;
authorization to perform the treatment;
proof that the treatment is within the user’s scope of practice;
regulatory approval;
a representation that reimbursement is available; or
a statement that the application meets the standard of care.

Patient Assessment and Selection

Providers remain solely responsible for appropriate patient evaluation, diagnosis where legally authorized, differential diagnosis, contraindication screening, review of medical history, identification of risk factors, assessment of treatment suitability, and referral or non-treatment decisions when appropriate.

No Wasabi Method material can replace case-specific assessment, clinical reasoning, or legally required escalation, referral, supervision, or consultation.

Informed Consent

Providers are responsible for obtaining and documenting informed consent in accordance with applicable law, professional standards, facility policies, payer rules, and the circumstances of the proposed treatment. HHS guidance likewise recognizes that informed consent must be obtained and documented consistently with applicable law in regulated research settings, underscoring that consent requirements are context specific.

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Where applicable, consent discussions may need to address:

the nature and purpose of the treatment;
material risks;
expected benefits;
reasonable alternatives;
off-label status where relevant;
financial responsibility;
the opportunity to ask questions; and
the right to refuse or withdraw consent.

The precise content, timing, and documentation requirements for informed consent depend on the jurisdiction, profession, treatment context, and care setting.

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Supervision and Delegation

Users are responsible for determining whether a procedure may be delegated, which personnel may perform it, what level of supervision is required, whether on-site or remote supervision is permitted, what documentation is required, and whether assistants, technicians, students, trainees, or unlicensed personnel may participate.

Training materials, demonstrations, or workflow examples must not be interpreted as permission to delegate any clinical task.

Employer and Facility Requirements

Employers, hospitals, clinics, ambulatory centers, educational institutions, medical directors, insurers, and credentialing bodies may impose restrictions that are narrower than the outer limit of legal scope of practice.

Users must comply with the most restrictive applicable requirement, whether that requirement arises from law, rule, policy, contract, privileging status, insurance participation, or institutional protocol.

Professional Standards and Standard of Care

Wasabi Method content does not define the legal standard of care. The applicable standard may depend on profession, specialty, jurisdiction, patient characteristics, clinical circumstances, current evidence, accepted professional practice, and facility policies.

Educational content may describe techniques, trends, or frameworks, but those descriptions do not establish what is legally or professionally required in a given case.

Emergency and High-Risk Conditions

Wasabi Method educational materials are not a substitute for emergency assessment, urgent diagnostic workup, specialist consultation, emergency referral, or escalation of care. Users should not delay necessary emergency or specialist care based on Wasabi Method materials.

Documentation and Recordkeeping

Users are responsible for maintaining legally and professionally appropriate records, which may include:

clinical findings;
indications for treatment;
contraindication screening;
informed consent;
device and applicator information;
treatment parameters;
patient response;
adverse events;
follow-up recommendations;
referrals; and
billing and reimbursement documentation.

Advertising and Patient Communications

Providers must ensure that their advertising, websites, consent forms, social media posts, patient handouts, promotional videos, intake materials, and verbal representations comply with applicable professional rules, consumer-protection requirements, and truth-in-advertising standards. The FTC regulates endorsements, reviews, and advertising claims, including health-related claims and testimonial practices.

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Wasabi Method educational language must not be copied or repurposed as a guarantee of outcome, proof of regulatory approval, proof of legal scope, or proof that a service is appropriate for every patient.

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Billing, Coding, and Reimbursement

Even where an activity may be within scope of practice, that does not guarantee insurance coverage, medical necessity, coding eligibility, payer reimbursement, compliance with benefit-plan requirements, or permission to bill under another provider.

Providers must independently verify payer rules, coding requirements, documentation standards, supervision rules, and reimbursement restrictions before billing or submitting claims.

Telehealth and Cross-Border Practice

Remote education, online interaction, or telehealth technology does not remove licensing or jurisdictional restrictions. Providers remain responsible for determining whether they may lawfully treat, advise, supervise, prescribe where applicable, or communicate clinically with a patient located in another state, province, territory, or country.

International users are responsible for ensuring that their use of the site and purchase of products or services complies with all local laws applicable in their jurisdiction, including laws of foreign jurisdictions.

Research, Demonstrations, and Case Examples

Demonstrations, faculty techniques, case reports, case discussions, research protocols, sample workflows, and clinical examples may reflect a particular practitioner’s scope, institutional authorization, research setting, supervision structure, or jurisdiction-specific permissions.

They should not be assumed to be lawful, reimbursable, prudent, or clinically appropriate for every attendee, user, employer, or jurisdiction.

Faculty and Contributor Views

Statements made by faculty, guest speakers, researchers, sponsors, exhibitors, directory members, or contributors may reflect their own professional opinions, interpretations, or experiences and do not necessarily represent Wasabi Method’s official position.

No Supervisory or Practitioner Relationship

Accessing or using Wasabi Method content does not create:

a clinician-patient relationship;
a supervisor-supervisee relationship;
a preceptor relationship;
an attorney-client relationship;
a regulatory consultant relationship; or
a fiduciary relationship.

Duty to Verify Current Requirements

Laws, board interpretations, professional standards, reimbursement policies, and employer requirements may change over time. Users should verify current requirements directly with the sources most relevant to their practice, which may include:

their licensing board;
their professional association;
their employer or medical director;
their facility credentialing department;
their malpractice insurer;
their reimbursement or coding advisor; and
relevant governmental or regulatory authorities.

Reporting Concerns or Errors

Suspected scope-of-practice inaccuracies may be reported to info@wasabimethod.com. Wasabi Method may review and revise content but does not guarantee that all materials reflect every jurisdiction’s current requirements.

No Warranty

Wasabi Method does not warrant that its educational content is:

permitted in every jurisdiction;
appropriate for every profession;
sufficient to establish competence;
current for every licensing board;
accepted by an employer, insurer, or credentialing body; or
suitable for a particular patient, device, or clinical setting.

Limitation of Liability

To the fullest extent permitted by law, Wasabi Method is not responsible for any disciplinary, licensing, credentialing, reimbursement, insurance, employment, civil, professional, or regulatory consequences arising from a user’s independent clinical, operational, billing, supervision, delegation, or practice decisions.

Wasabi Method does not warrant that any educational content, protocol, demonstration, or research summary is legally sufficient for use in a specific jurisdiction or clinical circumstance, and all reliance on such content is at the user’s own risk.

Related Legal Notices

This Scope of Practice Disclaimer should be read together with other applicable Wasabi Method legal notices and policies, including:

Regulatory Disclaimer;
Healthcare Disclaimer;
Device Neutrality Statement;
Continuing Education Disclaimer;
International Disclaimer;
Research Disclaimer;
Informed Consent Disclaimer, if created;
Terms of Use; and
Privacy Policy.

Contact Information

Questions about this disclaimer or compliance concerns regarding Wasabi Method educational materials may be directed to:

Email: info@wasabimethod.com
US Office: 11500 South Eastern Avenue, Suite 150, Henderson, NV 89052 | Tel: 1 253-372-8869
AU Office: 14B Palmers Lane Bensville, 2251 New South Wales, Australia | Tel: +61 431 227 238
Alternative Sites: wasabimethod.store | wasabimethod.com.au | shockwavesummit2026.com | adam-gavine.carrd.co

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