By validating this form, I, the undersigned, in my capacity as parent/legal guardian, hereby give my consent for my child born to receive physiotherapy care at the office without the presence of the parent/guardian.
I understand and accept that physiotherapy care may involve certain inherent risks. I acknowledge that the physiotherapy practice makes every reasonable effort to provide quality and safe care. However, I understand that the physiotherapy practice cannot guarantee treatment results and that complications, injuries, or unwanted side effects may occur.
I confirm that I have read and understood its entire contents and I voluntarily agree to release the physiotherapy practice from any liability.
