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Get Informed Consent - Prana Physical Therapy

Informed Consent I do hereby give my consent to have the clinical staff of Prana Functional Manual Therapy provide therapy service(s). I understand that the initial physical therapy evaluation will.

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How to fill out the Informed Consent - Prana Physical Therapy online

Filling out the Informed Consent form for Prana Physical Therapy is an important step in your therapy journey. This guide provides clear, step-by-step instructions to help you complete the form accurately and confidently.

Follow the steps to successfully complete the Informed Consent form online.

  1. To begin, press the ‘Get Form’ button to access the Informed Consent form. This will allow you to open it in an interactive format for completion.
  2. The first section requires your consent for the clinical staff at Prana Functional Manual Therapy to provide therapy services. Please read it carefully and ensure you understand what you are consenting to.
  3. Next, you will encounter information regarding your rights. This includes the right to refuse any tests or procedures that are not satisfactorily explained to you, as well as your rights concerning access to your medical records. Acknowledge these rights by checking any necessary boxes or providing initials where indicated.
  4. The subsequent area discusses potential treatment experiences and encourages you to communicate any unusual developments during your therapy. Review this section to understand the expectations related to treatment.
  5. You will also need to fill in the section for persons to whom you wish to release information, other than yourself. Provide the names and relationships of these individuals. This ensures that important updates can be shared with your trusted contacts.
  6. Finally, sign and date the form at the designated lines to validate your consent. Ensure that your signature is clear and that the date is accurate. After completing the form, you can save your changes, download a copy, print it for your records, or share it as needed.

Complete your Informed Consent form online now for a smoother therapy experience.

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This consent describes what to expect if the Patient chooses to have physical therapy. The Patient understands that physical therapy may involve a variety of treatments to address their care needs.

The following are the required elements for documentation of the informed consent discussion: (1) the nature of the procedure, (2) the risks and benefits and the procedure, (3) reasonable alternatives, (4) risks and benefits of alternatives, and (5) assessment of the patient's understanding of elements 1 through 4.

The informed consent process involves three key features: (1) disclosing to potential research subjects information needed to make an informed decision; (2) facilitating the understanding of what has been disclosed; and (3) promoting the voluntariness of the decision about whether or not to participate in the research.

It is your right to ask your physical therapist about the treatment they have planned based on your individual history, physical therapy diagnosis, symptoms, and examination results. Consequently, it is your right to discuss the potential risks and benefits involved in your treatment.

I have read and understand the information in this form. I have been encouraged to ask questions and all of my questions have been answered to my satisfaction. I have also been informed that I can withdraw from the study at any time. By signing this form, I voluntarily agree to participate in this study.

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