Using a Sensitive Areas Consent Form

Obtaining consent for treating sensitive areas is simple.  Just watch the video below and/or follow the steps listed.

1. Create a general Sensitive Consent Form Template
2. Create a Form for a patient and select Sensitive Consent
3. Remove the sensitive areas not being treated
4. Press Save

The sample content used in the video can be found here:

Consent for Assessment and Treatment of Sensitive Areas I, First Name Last Name, have requested assessment and/or treatment by this Registered Massage Therapist
(RMT)  Bob Smith for treatment of the clinically relevant area(s):

• Buttocks (gluteal muscles)
• Chest Wall Muscles
• Upper Inner Thigh(s)
• Breast (s) (RMT has discussed if areola will be included and why)

The RMT has explained the following to me and I fully understand the proposed assessment and/or treatment:

• The nature of the assessment, including the clinical reason(s) for assessment of the above area(s) and the draping methods to be used
• The expected benefits of the assessment
• The potential risks of the assessment
• The potential side effects of the assessment
• That consent is voluntary
• That I can withdraw or alter my consent at any time. I voluntarily give my informed consent for the assessment and/or treatment as discussed and outlined above.