Liability Waiver

I fully understand and acknowledge that: (a) The activities I will engage in as part of the treatment provided by Carmel Ofir, as well as the equipment I may use during these activities, involve inherent risks, dangers, and hazards. These risks exist in both the use of equipment and my participation in the activities themselves. (b) My participation in these activities, including the use of equipment, could result in serious injuries, including but not limited to strains, fractures, partial or total paralysis, death, or other serious ailments that could cause disability. By participating in these activities and using the equipment, I hereby assume all risks and dangers and accept full responsibility for any losses or damages, whether caused in whole or in part by negligence. I, on behalf of myself, my personal representatives, and my heirs, voluntarily agree to release, waive, discharge, hold harmless, defend, and indemnify Carmel Ofir from any and all claims, actions, or losses for bodily injury, property damage, wrongful death, loss of services, or any other harm that may arise out of my use of any equipment or participation in these activities. I specifically understand that by signing this form, I am releasing, discharging, and waiving any claims or actions that I may have, both now and in the future, for the negligent acts or other conduct of Carmel Ofir.

I, the undersigned, acknowledge that I have read, understand, and voluntarily agree to the terms outlined in this Liability Waiver and Release Form. I fully understand the inherent risks associated with physical therapy treatment, including the use of equipment and participation in therapeutic activities, which may result in potential injury, disability, or death. I understand that by signing this form, I am voluntarily assuming these risks and waiving any future claims against Carmel Physical Therapy, including those based on negligence. I confirm that I have had the opportunity to ask questions about the risks and nature of the treatment I will receive, and that all of my questions have been answered to my satisfaction. I also understand that I am free to withdraw my consent to treatment at any time.

Consent to Treatment

I consent to receive physical therapy treatment at Carmel Physical Therapy, which may include manual therapy, therapeutic exercises, modalities (such as heat, cold, ultrasound, and electrical stimulation), and other techniques as recommended by my therapist. I understand the purpose of these treatments is to improve my condition, alleviate pain, and restore function, and that there are potential risks, including soreness, discomfort, or worsening of symptoms. I acknowledge that I have been informed of the treatment options, risks, benefits, and alternatives, and that my active participation is necessary for the success of the treatment. I understand I can ask questions, refuse treatment, or withdraw my consent at any time. By signing, I give my voluntary consent to the treatments described.