Informed Consent to Treatment
Please read the following thoroughly. If you have any questions, please do not hesitate to ask them. As part of our profession's ongoing commitment to provide quality care, it is essential that you are fully aware and understand your rights, treatment procedure and any policies. This will assist you in making informed choices in regards to massage therapy.
YOUR RIGHTS AS A CLIENT
- Client may refuse , modify or terminate the treatment at any time, regardless of prior consent given
- Removal of clothing to your comfor level is recommended and proper draping will be provided to assure security and privacy. Only the body part being treated will be undraped, leaving the remainder of the body fully draped at all times
- RMT will provide sufficient information to enable the patient to make an informed decision about treatment by providing information about areas to be treated, anticipated benifits and possible negative effects of the treatment
RIGHTS AS A THERAPIST
- The therapist has the right to terminate and refuse the treatment if these is a reasonable cause(s)
- If a treatment or area being treated is contraindicated a therapist can discontinue treatment and if necessary, referrals can be made to the appropriate health care providers
BENEFITS AND RISKS
I understand that as with any form of therapy, massage therapy offers benefits and risks. Benefits cannot be guaranteed. Occasionally uncomfortable side effects such as tenderness, or a temporary aggrivation of symptoms. If negative effects are intense or last longer than a day or two let your therapist know so they can adjust their approach at your next appointment if needed.
I have read and fully understand all information included in thes informed consent. Anything that was unclear wasdiscussed and explained by my RMT. I acknowledge that my consent is voluntary and that I may withdraw my consent at any time. I hereby consent to the application of Massage Therapy by Scott Mooney, RMT.
I intend this consent to apply to all my present and future care.