When performed by a qualified practitioner, osteopathic manipulation of the spine, joints, muscles & other musculoskeletal elements is a safe and effective method of treatment for many conditions. There are, however, risks associated with any treatment that we are required to inform you about.

Please read the following carefully and discuss any questions you may have with your treating practitioner. If you agree, please check the box to say that you ‘have read and accept our Terms & Conditions and Privacy Policy.’

I request and consent to the performance of osteopathic manipulation and other osteopathic procedures.

I confirm that I will have the opportunity to discuss with the osteopath named below the nature and purpose of osteopathic manipulation and other osteopathic procedures. I understand that results are not guaranteed.

I understand, and acknowledge that in the practice of osteopathy, as in all medicine, there are some very slight risks to treatment including, but not limited to, muscle & joint soreness, muscle & joint strains, fractures, disc injuries and strokes. I do not expect the osteopath to be able to anticipate and explain all of the risks and possible complications. I wish to rely on them exercising their judgment during the course of my treatment in the manner that is in my best interests, based on the facts then known.

Where deemed appropriate, I consent to photo/video recording for biomechanical assessment.

I have read the above, and confirm that I will also have the opportunity to ask questions. I intend this consent form to cover the entire course of treatment for my present condition, and for any other future condition(s).

I understand that I can withdraw my consent at any time in writing.

Future appointments at this clinic may be required to be block booked to ensure the optimal outcome for your condition, illness or injury.

I consent to receiving appointment reminders (by SMS & email) and other information from time to time regarding the services of Melbourne Osteopathy Sports Injury Centre. I understand that I can opt out of these notifications if requested.

This is a busy clinic with a long waiting list. As a result, we require that all cancellations and reschedules are made by phone and with at least 24 hours notice. This allows us to help other clients on their health journey. Cancellations with less than 24 hours notice and missed appointments will be charged the full consultation fee. This fee will be discounted by 25% if paid within 7 days OR discounted by 50% if another appointment is booked within 7 days.

If you are satisfied with your consultation we would appreciate you referring friends & family to our Centre.

At the end of your first treatment we request that you complete a patient feedback form.