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.