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Consent Forms for Physiotherapy: What to Include, With Free Templates

Consent is a conversation first and a form second. The form is the record that the conversation happened: what you explained, what the patient agreed to, and when. This guide explains what consent forms for physiotherapy should include in an Indian clinic, with free templates you can read, change and use.

The forms most clinics need

  • Consent to assessment and treatment. The everyday form for a new patient: you will ask about their health, check how they move, and may need to touch the area being assessed.
  • Dry needling consent and screening. Screening questions for whatever changes whether needling is safe (bleeding problems and blood thinners, pregnancy, fainting with needles, conditions that slow healing, metal allergy, pacemakers, implants or lymphoedema), then what needling is, its common effects and its rare risks.
  • Video consultation consent. What can and cannot be checked over video, and a phone number in case the call drops. More in our guide to tele-physiotherapy.
  • Parent or guardian consent for a child. Who the child is, who may bring them, and the parent's consent.
  • Photo and video consent. Separate from treatment consent, and clear about use: the patient's record only, teaching, or your website and social media.
  • Fees and package agreement. Your fees, the expected number of sessions, and how packages work, agreed before treatment starts. Our guide to treatment packages explains why this saves arguments later.

Two more are policies rather than consent: an appointment and cancellation policy, and a before your home visit form for physios who treat at home.

Using the templates in Clinidiary

Open Settings, then Resources library, and press Add to my practice on each form you want. It becomes one of your forms, with signature on, ready to change: add your logo, your fees and your own cancellation rules. Then send it with bookings, or hand the tablet over at reception.

Frequently asked questions

Consent must be informed, and a written record is the clearest proof of it. Many clinics take written consent at the first visit and note verbal consent for later changes in treatment.

It is good practice. Dry needling has its own risks and its own screening questions, and a separate form makes sure they are covered.

Can I use these forms in Hindi or Gujarati?

Yes. Once added, a form is your clinic's own copy, so you can rewrite it in the language your patients read best.

Yes. Read them on our resources page, or add them to Clinidiary in one click.