As a client of Rise Rehabilitation and Sport Performance you will be asked to perform specific activities in order to allow the Physical Therapist (PT) to evaluate your physical condition and implement a treatment program. These activities include assessing and exercising through joint range of motion, muscular strength and flexibility, and overall conditioning for all body parts deemed necessary by your PT. 

 

There are certain risks involved in physical therapy evaluation and treatment. These risks include soreness, aggravation of existing conditions, skin irritation and cardiovascular complications such as rapid heart rate or shortness of breath. The most severe risks are associated with cardiovascular exercise and include cerebral vascular accidents and cardiac arrest. Please ensure that you speak to your PT regarding your past medical history and complete the medical screening information accurately.

 

I have read and understand the above information and am willing to participate in physical therapy evaluation and treatment.

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By printing my name and submitting this form I agree to the RISE Event Consent Form shown above