Case History

As stated in the "Consent of Treatment" Act, I have the right to consent to all or part of the session, or to withdraw consent at any time. I have the right to know specifically what I am consenting to. I have the right to ask questions at any time and have them adequately answered. I will communicate information, such as pain and discomfort levels throughout the session to ensure my own safety and effectiveness of the session. It has been explained and I understand and accept that there may be some post treatment effects such as soreness or tenderness and tiredness. I understand that the therapist cannot diagnose medical conditions or prescribe medication and I will notify the therapist or consult the appropriate healthcare professional if post treatment symptoms increase beyond what is reasonably expected or tolerated. If other symptoms not previously experienced occur I will also notify the therapist or other appropriate healthcare professional.