Osteopathic treatment is recognised as being an effective and safe method of care for many conditions. However, you must recognise that there are risks associated with all health care procedures, which you should be informed about.  The following information is to advise you of any inherent risks associated with treatment including any low risks of serious debilitating outcomes.

Before agreeing to treatment at my appointment, I shall receive:

• an explanation of my problem(s)
  
  
• the osteopath’s prognosis (the likely outcome)
  
  
• an explanation of the treatment and the techniques which will be used.
  
  
• an explanation of the relative risk of these procedures.

By agreeing to these terms and conditions you agree to the following:

• I consent to an appropriate consultation and examination by an osteopath at this clinic.
  
  
• The information I have provided, to the best of my knowledge, is as accurate and truthful as possible.
  
  
• I understand that I am able to withdraw consent at any time if I feel at all uncomfortable with the consultation/examination.
  
  
• I understand that the osteopath will explore my case history and conduct a physical examination.
  
  
• I understand that examination may require me to disrobe as appropriate, and that towels will be available to maintain my comfort and modesty.
  
  
• I understand that before treatment is received that I shall be required to give a specific consent to this.
  
  
• I acknowledge that I am aware of the possible reactions to osteopathic treatment which include (although not limited to) muscle and joint soreness, and a short-term exacerbation and/or aggravation of my underlying condition.
  
  
• I acknowledge that I can discuss with the osteopath any risks associated with the proposed treatment. I understand that the risk of such injuries is remote, and that the osteopath has taken a medical history performed a thorough examination to exclude any reasons why specific treatment techniques should not be used.
  
  
• I also acknowledge that I will have the opportunity to ask questions about the nature, extent and purpose of the proposed osteopathic care and that I have been given sufficient time to make a decision giving consent for the care to proceed.
  
  
• I acknowledge that I do not expect the practitioner to be able to anticipate all potential risks and complications associated with the proposed care.
  
  
• I hereby acknowledge my consent to the performance of the proposed osteopathic care by the osteopath and/or any other osteopath working in this clinic. I understand that I can withdraw my consent at any time.

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