Informed Consent for Physical Therapy With Laura Yrastorza, PT

The purpose of physical therapy is to treat dysfunction, injury and disability by examination, evaluation, diagnosis, prognosis, and intervention by use of:

• Education

• Hands-on treatment such as joint mobilization, soft tissue release, passive stretching;

• Modalities such as cupping and dry needling;

• Personalized homework such as exercises, stretching, postural changes, work station set up.

My goal is to assist you in attaining and maintaining your optimal self. Know that response to physical therapy varies from person to person, so, it is not possible to clearly predict your response to a specific modality, procedure, or exercise protocol. Therefore, I do not guarantee what your reaction will be to a specific treatment, nor that the treatment will help resolve the condition that you are seeking treatment for. There is a possibility that the treatment may result in aggravation of existing symptoms and may cause pain. It is very important, then, for you to communicate with me following our sessions so that I can adjust my treatment accordingly. It is your right to decline any part of your treatment at any time before or during treatment, should you feel any discomfort or pain or have other unresolved concerns. It is your right to ask me about the treatment I have planned based on your individual history, physical therapy diagnosis, symptoms, and examination results. And, it is your right to discuss the potential risks and benefits involved in your treatment.