Simplify the creation of Sensitive Area forms by using the content from our Assessment and Treatment forms.  Your patient digitally signs the forms, it is associated to a SOAP Note and it is stored in the profile.  It is that easy.

 

Gluteal Treatment Consent

Following a discussion and review of assessment findings, I have requested treatment by the Massage Therapist for treatment of the Gluteal Area.

As part of my therapeutic treatment, I am aware that my Massage Therapist will treat the Gluteal Area.

The Massage Therapist has explained the:

  • The nature of the assessment, including the clinical reason(s) for treatment of the above
    area(s) and the draping methods to be used
  • The expected benefits of the treatment
  • The potential risks of the treatment 
  • The potential side effects of the treatment
  • Alternative courses of action
  • Likely consequence of not having the treatment
  • That consent is voluntary
  • That I can withdraw or alter my consent at any time. 

 

 

 

Gluteal Assessment Consent

I  have requested a Gluteal assessment by the Massage Therapist

As part of my therapeutic assessment, I am aware that my Massage Therapist will Assess the Gluteal Area.

The Massage Therapist has explained the following to me and I fully understand the proposed Gluteal assessment including:

  • The nature of the assessment, including the clinical reason(s) for assessment of the above area(s) and the draping methods to be used
  • The expected benefits of the assessment
  • The potential risks of the assessment
  • The potential side effects of the assessment
  • That consent is voluntary
  • That I can withdraw or alter my consent at any time. I voluntarily give my informed consent for the assessment as discussed and outlined above. 

 



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