PHYSIOTHERAPY INFORMED CONSENT
It is part of our duty that all physiotherapists inform you of any possible risks associated with professional treatment techniques utilised during a hands-on treatment session.
Some therapy techniques such as therapeutic massage, joint manipulations, traction/distraction or mobilisations have a minute risk of causing injury. Injury may be caused to structures including, but not limited to; nerves, bones, muscles, ligaments, intervertebral discs or arteries. The use of tape or massage
mediums may cause irritations or allergic reactions on the skin of some individuals. Where possible, hypoallergenic tapes and massage mediums will be used to further reduce the risk of this occurring. Superficial Dry Needling and the use of acupuncture needles, along with the aforementioned techniques can occasionally cause localised swelling, bruising, or transitory increased in the levels or distribution of pain or
other symptoms.
You may choose to consent or refuse any form of treatment for any reason including religious or personal reasons. Once you have given consent, you may withdraw that consent at any time. Please discuss any of these risks with your practitioner.
NON-ATTENDANCE POLICY
Due to the nature of one on one and group therapy sessions, Physica requires 24 hours of notice when a patient requires a cancellation or needs to reschedule an appointment for physiotherapy. This is to ensure that we are able to provide optimum care for the people that can make use of these appointment allocations. If you provide less than 24 hours of notice to the clinic or fail to attend the appointment without notice, you will be charged a cancellation fee ($30) at the discretion of the practitioner.
If you are running late, we will make every effort to get in touch with you, so please provide us with all contact numbers.
we send out reminder appointment reminders and emails about your appointments as well as specific injury advice to you about your care.
If you do not wish to have these sent please notify our administration team.
CONSENT
I have read this form, understand the information it contains, and give my consent to receive treatment