Noosa Chiropractic
Consent Form

Chiropractic care, when performed by a qualified Chiropractor has been found to be both effective and safe form of care for many health conditions.
There are, however, risks associated with any treatment that you need to be informed of and we ask that you read the following carefully:

• I understand there are very minimal risks resulting from treatment, such as but not limited to; muscle and joint soreness, sprain, muscle strain, disc injury, nerve irritation or damage.
• I understand in extremely rare cases, some treatments to the neck may result in injury to blood vessels and give rise to stroke or stroke like symptoms.
• I understand that results are not guaranteed and that consent can be withdrawn at any time.
• I give consent for X-rays to be taken today if required.
• I give consent, by signing below, to cover the entire course of treatment for my child's presenting complaint(s), and for any other future condition(s) for which I seek treatment from the below named Chiropractor and any of the registered Practitioners practicing at Noosa Chiropractic Clinic.
• I have read, or have had read to me the above consent and I have also had an opportunity to ask questions about this content.