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Medicare Physiotherapy Intake Form

Medicare Physiotherapy Intake Form

The following information, overleaf, will ensure we optimise your outcome and deliver physiotherapyAs a physiotherapy practice providing comprehensive care, our goals are:
1. To address the issues that brought you to Angel Care.
2. To treat the causes of your condition (not just treating the symptoms or find a temporary solution
3. To offer you the opportunity of improved health potential and wellness services in the future.
Clinic Policy
Our goal is to deliver an exceptionally friendly and professional service providing you with the best in physiotherapy care.

RECOVERY
Remember that healing and recovery takes time and not everyone heals/recovers at the same rate. If at any stage during your care, you do not feel that you are responding as well as expected, please discuss this with your physiotherapist. We want you to get the most from your care at AngelCare.

REFERRALS
The greatest compliment we can receive is the referral of a friend or family member. We look forward to assisting you and trust that your experience here is a positive one.

APPOINTMENT SCHEDULING
Your physiotherapist will outline a recommended action plan as the best plan for your injury. You will achieve the maximum results when you keep your recommended action plan to this schedule. To receive the most out of your care, and to save time, we ask that you schedule your appointments when receiving your plan.

MISSED APPOINTMENTS
Please allow 24 hours notice that will allow rescheduling to other patients/clients in need. Missed appointments will set you back in your recovery as well as others.

X-RAY AND OTHER SCANS
Our team/physiotherapist can obtain your recent radiology scan results. Please inform our receptionist if you have had any imaging completed for body areas relevant to your appointment today. Your signature below gives consent for APM to obtain your scan results.

CORRESPONDENCE
Our physiotherapist/s will contact your nominated Doctor to inform them of your progress. At AngelCare, we believe in building a team of health care professionals to best achieve your health goals. Your signature below indicates that you give permission to the therapist to exchange information with your Doctor, Allied Health Practitioners, Medical Specialists, Lawyers, and third party (insurance/Workcover) Case Managers, and allow access to My Health Record when necessary. This information will be confidential. I consent to AngelCare utilising technology including photography/videography, with careful storage of my images.

TREATMENT CONSENT
Physiotherapy treatment is an effective and safe form of treatment however like any treatment there are benefits and risks. Physiotherapists in this practice will discuss your condition and options for treatments with you so that you are appropriately informed and can make decisions relating to treatment. You may choose to consent or refuse any form of treatment for any reason including religious or personal grounds.

Typical physiotherapy carries a remote possibility of injury to structures such as but not limited to; nerves, bones, muscles, ligaments, discs or arteries. Physiotherapy can occasionally cause local swelling, bruising or transient increases in pain or other symptoms. Electro-physical agents such as ultrasound or interferential therapy have been linked to minor burns and abnormal skin reactions. Allergic skin reactions to cream, tape, or needles are a possibility.

You will be asked to expose the injured body part for assessment and treatment. Please inform your physiotherapist if you feel uncomfortable at any time, as alternative methods are available. Your physiotherapist may ask personal questions relating to your injury and how your injury impacts on your activities of daily living. The more information you provide, the more likely it is that the physiotherapist can provide effective treatment. If you feel uncomfortable with a particular question please let the physiotherapist know. You have the right to a second opinion at any time. The large array of skills in our team allows this to occur easily. Please contact your physiotherapist immediately if you experience adverse reactions. It is important to attend follow-up appointments as arranged by your physiotherapist to allow completion of your course of planned treatment.
The above must be at least 18 years of age, otherwise consent from a custodial parent is required to treat a minor. Your signature confirms that you have read and give consent to Angel Care Clinic Policy."