
Free Injury Screen
Consent Form
I understand that I am receiving physical therapy care from Elite Care Physical Therapy, LLC for an injury screen and/or treatment. This may consist of having any or all of the following: reviewing my past medical history, a movement assessment, various objective tests & measures such as range of motion and strength, manual therapy, education regarding my plan of care and therapeutic exercise prescription. As with all forms of medical treatment, there are benefits and risks involved with physical therapy. As patient responses to a specific form of treatment can vary widely from patient to patient, it is not always possible to predict responses to a specific form of treatment. Therefore, Elite Care Physical Therapy LLC cannot guarantee any reaction or success to a given form of treatment. There is also a risk that your treatment may result in pain, injury, or may aggregative a previous condition. I may also discuss with my physical therapist the potential risks and benefits of a specific treatment and possible alternative treatments. I can stop evaluation and treatment at any time and am freely able to ask my physical therapist questions at any time during the evaluation/treatment session.