Common Contracts
1 similar Consent for Treatment contracts
ContractConsent for Treatment • February 13th, 2021
CONSENT FOR TREATMENT I hereby agree to a physical therapy evaluation and routine treatment by a Massachusetts licensed physical therapist or under his/her supervision, a Massachusetts licensed physical therapy assistant. I understand that the physical therapy treatment will be provided for the identification, prevention, remediation, and rehabilitation of an acute or chronic physical dysfunction. I understand that my physical therapist/physical therapy assistant will have me involved at all times in the decisions of my care. My consent to any treatment set forth is voluntary and I may withdraw any such consent at any time and to any aspect of the prescribed treatment. I agree, or agree to have my child, receive routine physical therapy treatment as explained to me by the treating physical therapist.
