Step 4 of 4

Sensitive Areas Consent Form

This form provides consent for treatment that may involve sensitive areas of the body, including the gluteal region, upper chest (pectoral region), or inner upper thigh. These areas are commonly involved in musculoskeletal dysfunction and are frequently addressed during chiropractic, myofascial, or rehabilitative care.

By signing this form, you are acknowledging that therapeutic contact in these areas may be appropriate as part of your treatment. Any care involving sensitive regions will be approached with professionalism, respect, and clear communication.