Must be licensed and independently insured professionals with one of the following degrees: kinesiology, fitness trainer, Bachelor of Physical Education. I assume full responsibility during and after my treatment participation for my choices to use or apply, at my own risk, any portion of the information or instruction I receive from a BCD INC (Better Call Doc INC) or Brave Health practitioner or associate.īCD INC BRAVE HEALTH ACTIVE THERAPY PRACTITIONERS I, as the patient, am aware that all activities, treatments, services and programs offered are either therapeutic, educational, recreational, or self-directed in nature. We request your understanding in maintaining both your and our safety by reading and signing the following INFORMED CONSENT AGREEMENT & INJURY RELEASE. You have a certified and insured fitness trainer who is working with you to improve your condition and/or maintain your level of physical wellness if your condition is deemed chronic and permanent. You are a patient with a medical condition, injury, impairment or disability. WITH THE DOCTOR OR ACTIVE THERAPY TRAINER/PRACTITIONERĪCTIVE THERAPY PROGRAM WITH FITNESS PRACTITIONER & THE INFORMED CONSENT HAS BEEN EXPLAINED

DO NOT FILL-IN UNLESS YOU ARE IN THE CLINIC OR FITNESS FACILITY

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