Precise Rehab Sdn. Bhd.
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Precise Rehab consent form
Datas collected will be used for medical & follow up purposes only.
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.