MoveMe Injury Rehab Policy

I acknowledge that the above information is true to my knowledge and understand that it will remain confidential. I give permission for MoveMe Injury Rehab only to contact me in regards to information related to my health, progress, appointment times and or clinic announcements.
Informed consent to PHYSIOTHERAPY, CHIROPRACTIC CARE & REMEDIAL MASSAGE THERAPY.
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I hereby request and consent to the performance of Chiropractic and/or Physiotherapy and/ or Remedial massage therapy treatment on me, by any registered Chiropractor, Physiotherapist or Remedial Massage therapist.
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I have had the opportunity to discuss with the treating practitioner the nature and purpose of the treatment. I understand that the results are not guaranteed, nor fixed in one session.
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I understand and am informed that, as in the practice of medicine, in the practice of chiropractic, physiotherapy and remedial massage there are some slight risks to treatment, including but not limited to, muscle and joint soreness, muscle strains, join sprains, fractures, disc injuries, nerve injuries, stroke and stroke-like episodes.
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I do not expect the treating practitioner to be able to anticipate and explain all risks and complications.
I wish to rely on the treating practitioner to exercise judgment during the course of the treatment based on the facts known at the time, is in my best interests.
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I have read the above, and have also had the opportunity to ask questions about its content.
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I intend this consent form to cover the entire course of treatment for my present condition, and for any other future condition(s) for which I seek treatment.
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I understand that I can withdraw my consent at any time.