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Appointment Times
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Informed Consent
When performed by a qualified allied health professional, in this case an Osteopath, treatment can be effective for many painful conditions.There are however risks associated with any treatment, and I am required to inform you of these, even though there has never been a case in this clinic. Please read the following carefully, and write down any questions you may have.I hereby request and consent to the performance of treatment on me by any health professional working in this clinic.I have had the opportunity to discuss the nature and purpose of treatment. I understand that results are not guaranteed.I understand and I am informed that, as in the practice of medicine, in the practice of allied health, there are some slight risks to treatment, including, but not limited to, muscle and joint soreness, muscle strains, joint sprains, fractures, disc injuries, nerve injuries, strokes and stroke like episodes and possible worsening of underling conditions.I do not expect the health professional to be able to anticipate and explain all the risks and complications, and I wish to rely on the health professional to exercise judgment during the course of the treatment, which the doctor feels at the time, based upon the facts then known, is in my best interests. I have read the above, and I have also had the opportunity to ask questions about its content. I intend this consent form to cover the entire course of treatment for my present condition, and for any future condition(s) for which I seek treatment. I understand that I can withdraw my consent at any time. Also, please note that our clinic operates a cancellation policy.  Non attendance, or cancellation of an appointment within 4 hours will incur a fee of $50.
I have read and agree to the above:
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