Precise Rehab Sdn. Bhd.
What We Do
Precise Rehab consent form
Datas collected will be used for medical & follow up purposes only.
State the area/areas that you currently having problem/s at:
Lower back pain
Work related injury
Tennis and golf elbow
Closest branch location
Taman Sea, PJ
None of the above
Physiotherapy Service Consent Form
I hereby declare that I am free from any serious medical conditions or issues*:
*Surgical incision & Open Wound, Hypersensitive Skin, Healing Fracture, Acute Inflammation (Rheumatoid Arthritis), Cancer or Tumor, Osteoporosis (Advance), Diabetes (Advance), Deep Vein Thrombosis / Varicose Vein or any musculoskeletal injuries, pregnant, taking blood thinning (or heamophilia disorder), using long-term steroids, immunosuppressant medication or have an implanted device.
I consent to the proceedings of evaluation and treatment as deemed appropriate, and I have been made aware of the risks and benefits associated with treatment or rehab services. I agree to release PRECISE REHAB, and its associates from all damages that may result from all respected treatment or rehab services.
Necessity of physical contact and exposure of treatment area.
Authorizing the release of all necessary information
I would like a follow-up session