Consent to Treat - Liability Waiver

Exercise Program Waiver

I understand that the exercise program is designed to help improve my strength, flexibility, and overall function. I acknowledge that participation in any exercise program involves inherent risks, including but not limited to muscle strain, joint injury, cardiovascular events, or other unforeseen complications.

I affirm that I have disclosed any pre-existing medical conditions, injuries, or limitations to my therapist. I understand that it is my sole responsibility to inform my therapist immediately if I experience any pain, discomfort, or adverse reactions during the exercise sessions. I release Sonder Recovery and Performance and its therapists from any liability for injuries or complications arising from my participation in the exercise program, except in cases of gross negligence or willful misconduct.

Dry Needling Waiver

I understand that dry needling is a treatment technique that involves the insertion of thin needles into specific areas of the body to relieve pain and improve function. I acknowledge that there are inherent risks associated with dry needling, including, but not limited to, temporary pain, bruising, bleeding, infection, dizziness, nausea, and, in rare cases, nerve injury or pneumothorax (collapsed lung).

I confirm that I have informed my therapist of any relevant medical conditions, allergies, or concerns. I consent to this procedure with the understanding that I can withdraw my consent at any time. By signing this waiver, I release Sonder Recovery and Performance and its therapists from any liability for any adverse outcomes associated with dry needling, except in cases of gross negligence or willful misconduct.

Spinal Manipulation Waiver

I understand that spinal manipulation is a treatment technique used to improve mobility, function, and reduce pain. I am aware that spinal manipulation may result in temporary soreness, discomfort, muscle strain, or, in rare cases, injury to the spine, vertebral arteries, or surrounding tissues, including stroke.

I affirm that I have provided accurate and complete information regarding my medical history to my therapist. I consent to spinal manipulation treatment, understanding that I have the right to refuse or discontinue the treatment at any time. I release Sonder Recovery and Performance and its therapists from any liability for injuries or complications arising from spinal manipulation, except in cases of gross negligence or willful misconduct.

Acknowledgment and Agreement

I acknowledge that I have had the opportunity to ask questions regarding the above-described treatments, and all my questions have been answered to my satisfaction. I understand the potential risks and benefits of the treatments and my right to refuse or withdraw from any treatment at any time.

I agree to promptly inform my therapist of any changes in my condition, any new symptoms, or concerns about the treatment. I understand that by signing this consent form, I am accepting responsibility for my participation in the treatments and releasing Sonder Recovery and Performance and its therapists from liability except in cases of gross negligence or willful misconduct.

I confirm that I have read and fully understand the information provided in this consent form, including the potential risks and benefits of the exercise program, dry needling, and spinal manipulation. I acknowledge that I will have the opportunity to ask questions, and I understand that I have the right to refuse or withdraw from any treatment at any time.

By signing the linked New Patient Form, I agree to proceed with the recommended treatments and release Sonder Recovery and Performance and its employees from liability, except in cases of gross negligence or willful misconduct.