• Treatment Consent Form

    Treatment Consent Form

    Thank you for your interest in working with me! This form helps me to understand your needs and ensure you feel fully informed before treatment. Please fill in the information below and feel free to reach out with any questions.
  • Your Details

  • Health History

  • Consent Decleration

  • I,         , understand that treatments may include sports massage therapy, injury rehabilitation, or related therapies. The purpose and nature of the treatment have been explained, and while every effort will be made to ensure comfort, temporary discomfort, soreness, or fatigue may occur.

    I understand that any guidance provided by the practitioner is not a substitute for medical diagnosis, treatment, or prescribed medications. I am encouraged to work in partnership with my general practitioner (or equivalent) for any ongoing or underlying medical conditions.

    I understand that while every effort is made to provide safe and effective treatment, no guarantee can be made regarding outcomes. I acknowledge that I have been informed of the possible risks and that I am responsible for communicating any discomfort, pain, or negative effects from treatment interventions. I understand that CJB and its practitioners are not liable for any adverse effects that may result from treatment, provided all reasonable care has been taken.

    I confirm that all information provided is correct. I agree to inform my therapist of any relevant medical conditions or changes in health. I understand that I may withdraw consent, wholly or partially, at any time.

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