The next page is an example of an Informed Consent for Treatment form which should be signed by a patient on their First Day but prior to treatment.
PLEASE NOTE THAT YOUR MALPRACTICE INSURER WILL MOST LIKELY HAVE A DIFFERENT FORM FOR YOU TO USE. Contact your carrier to download a copy of their form. Your carrier will require a signature on the form from the patient prior to treatment.
You should also check with your State Board to verify whether your State also has a different form that is mandated for use.
The purpose of the Informed Consent for Treatment form is to advise the patient of the known risks of a chiropractic adjustment, enabling the patient to knowingly take those risks into consideration when the patient agrees to treatment.