I acknowledge that the therapy activities in which I will engage as part of the treatment provided by Multidimensional Development have risks.
By my participation in the therapy, I hereby assume all risks and all responsibility for any loss or damage.
I voluntarily agree to release, waive, discharge, hold harmless, defend, and indemnify the Therapy Provider and their representatives, employees, and assigns from any and all claims, actions or losses which may arise out of the therapy.
I agree to cooperate fully, to participate in all therapy procedures, and to comply with the plan of care as it is established.
If I have any medical conditions, I have consulted with my physician to make sure that physical therapy is appropriate for me to participate in.
Last Updated: May 16 2022