How to use it: Consent Forms for Physiotherapy: What to Include, With Free Templates
Your choices
- Photos or videos of my movement may be kept in my clinical record Tick box
- De-identified photos or videos may be used for staff teaching Tick box
- Photos or videos may be used on the clinic website or social media Tick box
- About photos and videos To read and agree to · required We only use photos and videos for the purposes you tick above. You can withdraw your consent at any time, and we will stop using them from then on.
Signature
- Your full name Short answer · required
- Date Date · required
Signature
The patient signs on screen, on their phone or at the front desk, and the signed copy is kept on their file.
A starting point, not clinical advice. Check that it fits your patients, your practice and the rules where you work before you use it.