Re(h)able – Informed Consent
The purpose of this form is to let you know what your rights are and how we address the issue of collaborative decision making and informed consent between physiotherapist and patient.
Physiotherapy treatment is generally an effective and safe form of treatment however like any treatment there are benefits and risks. Physiotherapists in this practice will discuss your condition and options for treatment with you so that you are appropriately informed and can make decisions relating to treatment. You may choose to consent or refuse any form of treatment for any reason including religious or personal grounds.
Typically physiotherapy carries a remote possibility of injury to structures such as but not limited to; nerves, bones, muscles, ligaments, discs or arteries. Physiotherapy can occasionally cause local swelling, bruising or transient increases in pain or other symptoms. Electro-physical agents such as ultrasound or interferential therapy have been linked to minor burns and abnormal skin reactions. Allergic skin reactions to creams, tape, or needles are a possibility.
Please contact your physiotherapist immediately if you experience adverse reactions.
Physiotherapists in this practice will discuss your condition and options for treatment with you so that you are appropriately informed and can make decisions relating to treatment. You may choose to consent or refuse any form of treatment for any reason including religious or personal grounds. Once you have given consent, you may withdraw that consent at any time.
Physiotherapists have the right to refuse to provide a service where there are reasonable and non-discriminatory reasons for doing so.
Questions of a personal nature: Your physiotherapist may ask personal questions relating to your injury and how your injury impacts on your ‘activities of daily living’. The more information you provide, the more likely it is that the physiotherapist can provide an effective treatment. It is your choice as to what information you choose to provide. If you feel uncomfortable with a particular questions or group of questions, please let the physiotherapist know and they will cease.
Physical contact: During the examination, assessment and treatment it may be necessary for your physiotherapist to make physical contact. Your physiotherapist will ask your permission before making physical contact in any way. Wherever possible, contact will be made using a towel or other forms of screening. Physical contact requires your express consent. You may withdraw consent at any time at which point, all physical contact will cease immediately. Please inform your physiotherapist if you feel uncomfortable at any time.
Children and minors: Consent from a custodial parent is required to treat a minor (less than 18 years of age).
Substituted Consent: Where a person is incapable of understanding the risks and benefits of treatment, consent may be provided by another person legally authorised to provide such consent. Evidence of legal authorisation is required in such circumstances.
I consent to Re(h)able utilising technology including clinical photography/videography, with careful storage of my images.
Fees for private patients are due at the time of service. HICAPS and EFTPOS facilities are available for automatic claiming through your private health fund. Not all health care funds can claim through HICAPS Go, please check on their website HICAPSgo, Workcover, and 3rd Party Insurance patient accounts will be sent directly to the appropriate body, once liability is confirmed. Not all insurers reimburse the full amount of the fee charged and therefore you will be liable for any gap payment. You are a private patient unless we have confirmation of liability from an insurer.
Appointment Scheduling/Missed Appointments
We really value time – both yours, and ours. Running an efficient practice allows us to provide service to more people, and gives us time to pursue research and educational roles in the field. Our cancellation policy supports and respects the time commitment of our clients and our physiotherapists, and is intended to make our expectations clear. It sounds like this:
have a cancellation policy which requires a minimum of 24hrs notice to cancel or change your appointment.
This provides the therapist the opportunity to offer the appointment to a patient in need.
If 24hrs notice is not given, a cancellation fee may apply.
If you fail to attend your appointment or cancel your appointment on the day a cancellation fee will apply which is 100% of the designated fee. For multiple missed appointments patients will be required to pre-pay before an appointment can be made.