I hereby authorize and grant permission for clinicians at Ideal Physiotherapy to carry out an assessment and examination of my injury/ condition. I understand that all treatment methods used will be discussed prior to the treatment of my injury/ condition. I understand that my history may be discussed with other therapists at Ideal Physiotherapy if a referral is required. I understand that following my treatment that I may develop some tenderness and / or pain at the treatment site as a result of the treatment received. I understand if I cannot attend my appointment I must give 24 hours notice for Physiotherapy/ Myotherapy/ Massage or I will be charged the FULL cancellation fee. I must give 24 hours notice if I cannot attend my Clinical Pilates or group fitness classes or I will be charged the FULL cancellation fee. Please read additional terms & condition form for further details.