Sensitive Areas Consent & Chaperone Policy

Go Chiro Mobile (Dr. David DeFries)
Version: v2025-08-27 • Last Updated: August 27, 2025
610-494-0412 • gochiromobile.com

Purpose

Some exams or treatments may require evaluation or therapeutic contact near sensitive areas, including the chest wall, ribs, gluteal region, hips/pelvis, groin, or abdomen. This policy explains what to expect and documents your consent.

What to expect

• Treatment — We will explain the clinical need before any exam/treatment of sensitive areas and obtain your verbal consent at the time of care.
• Respectful methods — We use respectful draping/positioning and the least-intrusive method to achieve clinical goals.
• Chaperone option — You may request a chaperone or have a support person present.
• Consent flexibility — You may pause or stop at any time. Consent can be withdrawn without affecting access to other appropriate care.

Minors and vulnerable adults

• Parental presence — A parent or guardian must be present for minors.
• Additional safeguards — We apply additional safeguards for vulnerable patients as appropriate.

Boundaries & professionalism

• Professional conduct — Our team maintains clear, professional boundaries at all times.
• No unauthorized recording — Photography, audio, or video recording of clinical encounters is not permitted without explicit written permission from both patient and clinician.

Your consent

By booking and signing the relevant form, you acknowledge that:

• You understand why sensitive area evaluation/treatment may be necessary for musculoskeletal concerns.
• You may accept or decline any part of the exam/treatment at any time.
• You may request a chaperone/support person.
• Questions are welcome—please ask for clarification at any point.