I confirm that I voluntarily consent to receive PHYSIOTHERAPY assessment and treatment provided by Clinic4Sport.
I understand that treatment may include, but is not limited to:

• Physical assessment
• Manual therapy
• Exercise rehabilitation
• Soft tissue techniques
• Mobilisations/manipulations

• Dry needling

• Ultrasound therapy

• Shockwave therapy

•  Transcutaneous electrical nerve stimulation (TENS) therapy

• Electrical muscle stimulation (EMS) therapy

• Cupping therapy
• Advice and education regarding injury management and recovery

I acknowledge that:

• The nature and purpose of the treatment has been explained to me.
• I have had the opportunity to ask questions.
• While osteopathy is generally safe, no guarantee of specific results can be given.
• I understand that I may stop or withdraw consent to treatment at any time.
• I confirm that I have disclosed any relevant medical conditions, injuries, medications, or concerns that may affect my treatment.

By signing and submitting this form electronically, confirm that I have read, understood, and agree to the above consent for osteopathy treatment provided by Clinic4Sport, and that the medical information I have provided is accurate to the best of my knowledge.