To the Patient: Please read this entire document prior to signing it. It is important that you understand the information contained in this document. Please ask questions before you sign if there is anything that is unclear.
As a part of the analysis, examination and treatment, you are consenting to the following procedures: spinal manipulative therapy (if deemed safe and suitable to your condition), palpation, range of motion testing, orthopedic testing (trying to physically recreate your symptoms to help with diagnosis), basic neurological trsting, muscle strength testing, postural analysis testing, soft tissue massage, therapeutic exercise.
The risks inherent to chiropractic adjustment
As with any healthcare procedure, there are certain complications which may arise during chiropractic manipulation and therapy. These complications include but are not limited to, fractures, disc injuries, dislocations, muscle strains. Some types of manipulation of the neck has been associated with injuries to the arteries in the neck leading to or contributing to serious complications including stroke. Stroke caused by chiropractic manipulation of the neck has been the subject of ongoing medical research and debate. The most current research on the topic is inconclusive as to a specific incident of this complication occurring. If there is a causal relationship at all it is extremely rare and remote.
Some patients will feel some stiffness and soreness following the first few days of treatment. The doctor will make every reasonable effort during the examination to screen for contraindications to care; however, if you have a condition that would otherwise not come to the doctor's attention, it is your responsibility to inform the doctor.