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The treatment you deserve, with the clinic you trust

I give my consent to participate in online physiotherapy rehabilitation exercise program for joint care conducted by Cura physiotherapy Clinic..


Participation in physical activity has shown to produce many benefits, both physically and mentally. They include improved endurance, increased muscle strength, flexibility as well as decreased stress level..


I recognize that exercises can cause some injuries to musculoskeletal system (sprains, strains, etc.) and to cardiovascular system (like dizziness, discomfort in breathing, etc.). I hereby certify that I know no medical problem past or present except those mentioned in admission form that would increase my risk of illness and injury as a result of participation in regular exercise program..

Testing and evaluation

I agree to inform my therapist if my details or medical conditions change during my exercise program schedule. I understand that not providing such information can be detrimental to my health and safety.By signing this consent form I understand that I am personally responsible for my action and I waive off my therapist of any responsibility should I incur any injury during the program.

Patient's signature