Patient Privacy and Consent


I understand that:

- Physical examination may involve partial undressing and palpation

- Where appropriate practitioners may use techniques including dry needling, cupping, laser therapy and shockwave


- At any time during the treatment/consultation process termination may be chosen by the practitioner or patient if


- In the even of any infection or illness, appointments will be suspended until full recovery is made. Medical clearance for

treatment may be required in some circumstances

- Soreness following some manual therapy treatments is not unusual

- At least 24 hours notice must be given in the event of an appointment cancellation

- All the information provided in this form is true and accurate to the best of my knowledge. My consent is valid for the

entire course of care at the clinic and I will inform my practitioner of any changes to my health situation


Dry Needling

Trigger point dry needling (intramuscular needling therapy) is an invasive procedure using a solid filament needle to penetrate the skin in order to reach a myofascial trigger point within a muscle. Dry needling is not acupuncture. It utilizes the anatomical landmarks of the body to locate and treat trigger points relieving pain, improving range of motion and promoting circulation to superficial tissues. Our practitioners have undertaken thorough dry needling training as part of their degree qualifications and are highly skilled in the methodologies of dry needling principles. While rare, minor bleeding from superficial vessels and temporary muscle soreness/bruising at the needling site may occur.

Low Level Laser Therapy

Also named cold laser therapy or photobiomodulation, LLLT is an effective therapy for musculoskeletal and neurological pain and injuries. LLLT has been clinically shown to significantly promote healing time, reduce inflammation, reduce pain and increase function and repair of damaged tissues. LLLT uses infrared and cold light wavelengths to impart energy into injured cells. These photons are transformed within the cell’s mitochondria into biochemical energy, inhibiting oxidative damage and stimulating natural repair processes and regeneration. Our practitioners have extensive LLLT training and understand this

treatment is not to be used on any area following the application of photosensitising agents, over the uterus during pregnancy,

over tumours or cancerous areas, on thyroid gland, vagus nerve, cardiac region, epilepsy, over growth plates or direct exposure to the eyes. Damage to the eyes is possible when viewed directly, supplied laser safety eyewear must be worn during laser treatments.

Extracorporeal Shockwave Therapy

ECST is a series of high-energy ultrasound percussions to an affected area. Treatment produces an inflammatory response and

stimulates internal healing and repair mechanisms. ECST breaks down disorganised tissue, calcified tissue, and reduce pain signalling via neurological pathways. Contraindications and precautions for ECST include recent cortisone injections; blood

thinning medications, cancer, pregnancy, and circulatory problems.