PATIENT REGISTRATION FORM
Physiotherapist in this practice will discuss your condition and options for treatment with you so that you are informed and can make decisions regarding your treatment. You may choose to consent or refuse any form of treatment for any reason including religious or personal grounds. Once you have given consent, you may withdraw that consent at any time.
Questions of a Personal Nature
Your Physiotherapist may ask personal questions relating to your injury and how your injury impacts on your ‘activities of daily living’. The more information you provide, the more likely it is that the physiotherapist can provide effective treatment. It is your choice as to what information you choose to provide.
Physical contact
During the examination, assessment and treatment it may be necessary for your physiotherapist to make physical contact. Your physiotherapist will ask your permission before making physical contact with you in any way. Physical contact requires your express consent. You may withdraw consent at any time at which point, all physical contact will cease immediately. Please inform your physiotherapist if you feel uncomfortable at any time.
Risk related to treatment
Physiotherapy is an effective and safe form of treatment. However, if there are any risks associated with the treatment, your therapist will clearly state them and discuss them with you.
Children, minors and Substituted Consent
Consent from a custodial parent is required to treat a minor. Where a person is incapable of understanding the risks and benefits of treatment, consent may be provided by another person legally authorized to provide such consent. Evidence of legal authorization is required in such circumstances.
You need to let us know when:
- a pacemaker or heart condition
- suffered from blood clots, thrombosis or stroke
- suffer from diabetes
- are currently taking regular medication
Booking appointments
Your therapist will outline a treatment plan as the best plan for your recovery. You will achieve the maximum results when you follow your recommended treatment plan. To be consistent we ask that you schedule your appointments in advance.