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Microsoft Word CONSENTTOTREATFORM2013 Consent to Treat Form I, (client) understand that massage therapy provided by, (massage therapist) is designed to enhance relaxation, reduce pain caused by muscle
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Begin by carefully reading the form to understand its purpose and the information it requires.
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Start by providing your personal information, such as your full name, address, phone number, and date of birth.
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If applicable, include the name and contact information of the person who will be responsible for payment or insurance.
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Indicate any allergies or medical conditions that the healthcare provider should be aware of to ensure proper treatment.
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Sign and date the form to indicate your consent for the healing touch treatment.
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Individuals seeking healing touch treatment from a healthcare provider or practitioner.
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