By validating this form, I, the undersigned, in my capacity as parent/legal guardian of [child's name], hereby give my consent for my child, born [child's name], to receive physiotherapy care at the clinic without the presence of the parent/guardian.
I understand and accept that physiotherapy treatment may involve certain inherent risks. I acknowledge that the physiotherapy clinic makes every reasonable effort to provide safe and high-quality care. However, I understand that the physiotherapy clinic cannot guarantee treatment outcomes and that complications, injuries, or undesirable side effects may occur.
I affirm that I have read and understood its entire content and I voluntarily agree to release the physiotherapy practice from all liability.
