Client Consent Form

You give permission to Revolution Rehab staff to perform the necessary testing and treatment according to your diagnosis. You agree that no guarantee or promise has been made as to the results of services you are to receive nor that any treatment you receive will produce specific results. You agree to any treatment technique that is recommended by the therapist that is within the scope of our profession that can be performed by our licensed professionals.
By typing my name I accept this as my signature
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