Consent Form

Please read the following statement and give your consent that you have understood its contents and agree with before treatment.

Osteopathic Treatment

Osteopathy, like all forms of health care, offers considerable benefits, but may also include some level of risk. Research suggests Osteopathy is one of the safest forms of treatment. We require every patient to make an informed decision about beginning treatment. 

During your consultation at Barry Osteopathy, a health history will be established and a physical examination will be conducted. These examinations are performed to assess your specific condition, determining if Osteopathy is needed and can help. 

The patient understands that sometimes it is necessary to expose and palpate certain areas of the body for diagnosis and treatment. Every effort is made to preserve modesty and keep you comfortable. Please tell or signal to the Osteopath if you have any concerns during your appointment and if you ever feel uncomfortable please do not hesitate to say so. 

Before any manipulation is given, the Osteopath will obtain verbal consent and the patient has the option to opt out at any time. 

The physical response to treatment varies and cannot always be predicted, as every individual is different. Whilst rare, some patients may experience short-term (up to 72 hours) aggravation of symptoms. It is important to follow the advice of the Osteopath to reduce any chance of adverse effects from treatment and should you be concerned please contact us.

It is accepted that the patient can refuse treatment (or any part of treatment) now or in the future without jeopardising future treatment at this practice.

General Data Protection Regulation (GDPR) 

At Barry Osteopathy we take your privacy seriously. By submitting this form you consent to us obtaining, processing and storing your medical information. Please note we will not share your personal information with anyone without your written consent. 


    I understand that it is important that I inform my Osteopath of any concerns, reactions or discomfort associated with treatment.

    Name:

    Please press "Submit" to send this form to the Osteopath at Barry Osteopathy.