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Physiotherapy Consent Form

905-901-0009
bodyflexclinic@gmail.com
unit 201 , 3050 confederation parkwy, Mississauga ON L5B 3Z6

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Physiotherapy Consent Form

Dear Patient:

Physiotherapy involves many different types of physical evaluation and treatment. As with all forms of medical treatment, there are benefits and risk involved in physiotherapy. The physical response to treatment varies and cannot always be predicted as every individual is different. There is no guarantee that the treatment will help the condition you are seeking treatment for and there is a risk that treatment will cause some discomfort or aggravation of the existing condition.

During your physiotherapy visit, it is often necessary to expose and touch the area in need of treatment. Every effort is made to preserve modesty and keep you comfortable. Please communicate to your therapist if you have any concerns during the treatment.

The physiotherapist will explain your physiotherapy diagnosis and discuss treatment recommendations with you. Physiotherapy, as with any type of medical care, is most effective if you participate according to the treatment plan agreed upon with your therapist. If at any time you have questions regarding treatment and services provided, please do not hesitate to talk to your physiotherapist.

The physiotherapy clinic (Health Information Custodian for your records) is responsible for protection, collection, use and disclosure of your personal information according to privacy rules set by Personal Health Information Protection Act (PHIPA) and by Personal Information Protection and Electronic Documents Act (PIPEDA).
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A multidisciplinary rehabilitation clinic on Confederation Parkway in Mississauga, Ontario.

Body Flex Physio and Rehab Clinic is a multidisciplinary rehabilitation clinic located in Mississauga, Ontario. We offer physiotherapy, chiropractic care, acupuncture, osteopathy, naturopathic medicine, registered massage therapy, MVA rehabilitation, orthopedic rehabilitation, and compression stocking fitting. We accept motor vehicle accident (MVA) and WSIB claims and offer direct billing to most insurance providers. Conveniently located at Unit 201, 3050 Confederation Pkwy — serving Cooksville, Square One, City Centre, Fairview, Applewood, and all of Mississauga.

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